Doctor Name: | PAMELA REBECCA MARSH |
NPI Number: | 1013202977 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP-BC |
License Number: | 20021 |
Business Practice Address: | 9300 Valley Childrens Pl Madera, CA - 936368761 |
Business Phone Number: | 5598011997 |
Business Fax Number: | |
Mailing Address: | 360 W Birch Ave, CLOVIS |
State: | CA |
Postal Code: | 936110207 |
Phone Number: | 5598011997 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2011 |
NPI Last Update Date: | 06/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 20021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |