Provider Demographics
NPI:1558696500
Name:MARSHALL, GENESE RILEY (APN)
Entity Type:Individual
Prefix:MRS
First Name:GENESE
Middle Name:RILEY
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:APN
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Mailing Address - Street 1:212 MARSHALL ROAD
Mailing Address - Street 2:PLATTE COUNTY HEALTH DEPARTMENT
Mailing Address - City:PLATTE CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64079-9761
Mailing Address - Country:US
Mailing Address - Phone:816-858-2412
Mailing Address - Fax:816-858-2087
Practice Address - Street 1:212 MARSHALL RD
Practice Address - Street 2:PLATTE COUNTY HEALTH DEPARTMENT
Practice Address - City:PLATTE CITY
Practice Address - State:MO
Practice Address - Zip Code:64079-9761
Practice Address - Country:US
Practice Address - Phone:816-858-2412
Practice Address - Fax:816-858-2087
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2012-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2011037996363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily