| Doctor Name: | CARRIE VIRGINIA MARSHALL |
| NPI Number: | 1073708145 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | 237573 |
| Business Practice Address: | 53 Route 130 Forestdale, MA - 026441402 |
| Business Phone Number: | 5084775306 |
| Business Fax Number: | |
| Mailing Address: | 21 Beacon St, Apt. 7a BOSTON |
| State: | MA |
| Postal Code: | 021082804 |
| Phone Number: | 8579911299 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2007 |
| NPI Last Update Date: | 09/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 237573 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |