Provider Demographics
NPI:1508665027
Name:MARSHALL, ARLICIA L (CNA)
Entity type:Individual
Prefix:
First Name:ARLICIA
Middle Name:L
Last Name:MARSHALL
Suffix:
Gender:
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3927 N 19TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68110-1764
Mailing Address - Country:US
Mailing Address - Phone:402-906-9730
Mailing Address - Fax:
Practice Address - Street 1:3927 N 19TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68110-1764
Practice Address - Country:US
Practice Address - Phone:402-906-9730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-08
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider