Marshall, Redonda

Marshall, Redonda is an individual health care provider with primary practice located at 1605 E Broadway Ste 110, Columbia MO 65201-8023. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Marshall, Redonda can be contacted via phone (573) 815-8130.

Contact Information

Primary practice address
1605 E Broadway Ste 110 Columbia MO 65201-8023
Phone: (573) 815-8130
Fax: (573) 815-8149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 102896 Missouri

Profile Details

NPI number 1275599615
LBN Legal business name Marshall, Redonda
Credentials MSN, APRN, BC,FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jun 14th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275599615 NPPES
Missouri MEDICAID 423962026

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