Provider Demographics
NPI:1700281649
Name:MARSH, SHEREEN-GALE (RN)
Entity Type:Individual
Prefix:
First Name:SHEREEN-GALE
Middle Name:
Last Name:MARSH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7378 W ATLANTIC BLVD # 228
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-4214
Mailing Address - Country:US
Mailing Address - Phone:954-716-6790
Mailing Address - Fax:954-716-6790
Practice Address - Street 1:3601 W COMMERCIAL BLVD STE 16
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3320
Practice Address - Country:US
Practice Address - Phone:954-716-6790
Practice Address - Fax:954-716-6790
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY692457163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse