Provider Demographics
NPI:1841413762
Name:MARSHALL, KAREN ELAINE (CFNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELAINE
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 INDIAN HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22610-2256
Mailing Address - Country:US
Mailing Address - Phone:540-683-6356
Mailing Address - Fax:540-536-8164
Practice Address - Street 1:135 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:LURAY
Practice Address - State:VA
Practice Address - Zip Code:22835-1016
Practice Address - Country:US
Practice Address - Phone:540-743-2887
Practice Address - Fax:540-743-1288
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024165920207R00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine