| Doctor Name: | ANA MARSHALL |
| NPI Number: | 1114314218 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 86884 |
| Business Practice Address: | 400 Se Frank Phillips Blvd Bartlesville, OK - 740033644 |
| Business Phone Number: | 9183333136 |
| Business Fax Number: | |
| Mailing Address: | 400 Se Frank Phillips Blvd, BARTLESVILLE |
| State: | OK |
| Postal Code: | 740033644 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/16/2015 |
| NPI Last Update Date: | 04/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 86884 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |