Provider Demographics
NPI:1215821210
Name:MARSH, NINA
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:
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 1:235 PINE FLAT RD
Mailing Address - Street 2:
Mailing Address - City:BONNY DOON
Mailing Address - State:CA
Mailing Address - Zip Code:95060-9708
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:235 PINE FLAT RD
Practice Address - Street 2:
Practice Address - City:BONNY DOON
Practice Address - State:CA
Practice Address - Zip Code:95060-9708
Practice Address - Country:US
Practice Address - Phone:831-265-2988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula