Provider Demographics
NPI:1720252729
Name:MARSHALL, SUSAN ELAINE (FNPC/CPNP)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:ELAINE
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:FNPC/CPNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:110 PRESTON EXECUTIVE DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8447
Mailing Address - Country:US
Mailing Address - Phone:919-852-3999
Mailing Address - Fax:919-852-3444
Practice Address - Street 1:110 PRESTON EXECUTIVE DR
Practice Address - Street 2:SUITE 108
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8447
Practice Address - Country:US
Practice Address - Phone:919-852-3999
Practice Address - Fax:919-852-3444
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC201903363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care