Provider Demographics
NPI:1649914839
Name:MARSHALL, ALEXANDRIA JEAN
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:JEAN
Last Name:MARSHALL
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:WASHINGTON HOSPITAL CENTER
Mailing Address - Street 2:110 IRVING STREET, NW, SUITE 1A-19
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010
Mailing Address - Country:US
Mailing Address - Phone:202-877-5329
Mailing Address - Fax:
Practice Address - Street 1:WASHINGTON HOSPITAL CENTER
Practice Address - Street 2:110 IRVING STREET, NW, SUITE 1A-19
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010
Practice Address - Country:US
Practice Address - Phone:202-877-5329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-24
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program