Marshall, Teresa Ann

Marshall, Teresa Ann is an individual health care provider with primary practice located at 10004 204Th Ave E #3400, Bonney Lake WA 98391-6539. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Marshall, Teresa Ann can be contacted via phone (253) 848-5951.

Contact Information

Primary practice address
10004 204Th Ave E #3400 Bonney Lake WA 98391-6539
Phone: (253) 848-5951
Fax: (253) 845-7073
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60009330 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60009330 Washington

Profile Details

NPI number 1366613960
LBN Legal business name Marshall, Teresa Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2008
Last updated Dec 6th, 2016 - about 8 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 1366613960 NPPES
Washington MEDICAID 9656869

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