Provider Demographics
NPI:1598462921
Name:MARSH, NONA ELIZABETH
Entity Type:Individual
Prefix:
First Name:NONA
Middle Name:ELIZABETH
Last Name:MARSH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4267 W OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-6114
Mailing Address - Country:US
Mailing Address - Phone:619-709-4778
Mailing Address - Fax:
Practice Address - Street 1:4267 W OVERLOOK DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-6114
Practice Address - Country:US
Practice Address - Phone:619-709-4778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAN2171756OtherDRIVER LICENSE