Provider Demographics
NPI:1750659710
Name:SPOHN, MARSHA LOU (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:LOU
Last Name:SPOHN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW LEXINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43764-1337
Mailing Address - Country:US
Mailing Address - Phone:740-343-0419
Mailing Address - Fax:
Practice Address - Street 1:411 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW LEXINGTON
Practice Address - State:OH
Practice Address - Zip Code:43764-1337
Practice Address - Country:US
Practice Address - Phone:740-343-0419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN227571163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse