Provider Demographics
NPI:1790585487
Name:HERRING, MARSHA KAY
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:KAY
Last Name:HERRING
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5030 S 94TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-2410
Mailing Address - Country:US
Mailing Address - Phone:402-290-8588
Mailing Address - Fax:
Practice Address - Street 1:5030 S 94TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-2410
Practice Address - Country:US
Practice Address - Phone:402-290-8588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant