Provider Demographics
NPI:1932535770
Name:MARSH, LINDSAY MARIE
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:MARIE
Last Name:MARSH
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LINDSAY
Other - Middle Name:MARIE
Other - Last Name:HAMRIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1337 RIDDLE AVENUE
Mailing Address - Street 2:APT 4
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1337 RIDDLE AVE
Practice Address - Street 2:APT 4
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2879
Practice Address - Country:US
Practice Address - Phone:304-838-1147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV83324163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse