Provider Demographics
NPI:1558802686
Name:FREEMAN, MARSHA (RN, BSN)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3465 S GAYLORD CT
Mailing Address - Street 2:B404
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3157
Mailing Address - Country:US
Mailing Address - Phone:303-506-2536
Mailing Address - Fax:
Practice Address - Street 1:3465 S GAYLORD CT
Practice Address - Street 2:B404
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3157
Practice Address - Country:US
Practice Address - Phone:303-506-2536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-08
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0179249163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse