Provider Demographics
NPI:1295099729
Name:MARSHALL, PATRICIA OWENS (NP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:OWENS
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 FORGE PKWY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-3134
Mailing Address - Country:US
Mailing Address - Phone:508-541-7757
Mailing Address - Fax:
Practice Address - Street 1:24 FORGE PKWY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3134
Practice Address - Country:US
Practice Address - Phone:508-541-7757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA162473363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health