Individual provider · Type 1 NPI

Carrie Virginia Marshall, PNP

Pediatric Nurse Practitioner · Forestdale, MA

NPI number 1073708145 Active

Practice location

53 Route 130
Forestdale, MA 02644-1402

Call (508) 477-5306 Map

Mailing address

21 Beacon St, Apt. 7A
Boston, MA 02108-2804

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X237573 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1073708145

Carrie Virginia Marshall, PNP's National Provider Identifier is 1073708145, issued on Sep 11, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Forestdale, MA. The record was last updated on Sep 11, 2007.