Provider Demographics
NPI:1619301348
Name:MARSHEL, TRICIA (RDN)
Entity Type:Individual
Prefix:MRS
First Name:TRICIA
Middle Name:
Last Name:MARSHEL
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:498 HENLEY DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-8390
Mailing Address - Country:US
Mailing Address - Phone:239-572-4228
Mailing Address - Fax:
Practice Address - Street 1:498 HENLEY DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-8390
Practice Address - Country:US
Practice Address - Phone:239-572-4228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4689133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered