Provider Demographics
NPI:1780840447
Name:LI, CARRIE MARSHALL (NP)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:MARSHALL
Last Name:LI
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:875 BLAKE WILBUR DRIVE
Mailing Address - Street 2:OFFICE 2321
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94304
Mailing Address - Country:US
Mailing Address - Phone:650-724-6690
Mailing Address - Fax:650-724-5203
Practice Address - Street 1:875 BLAKE WILBUR DR
Practice Address - Street 2:OFFICE 2321
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-2205
Practice Address - Country:US
Practice Address - Phone:650-724-6690
Practice Address - Fax:650-724-5203
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2015-05-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY430352363LA2100X
CA20178363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care