| Doctor Name: | MRS. SHANNON M MARSH |
| NPI Number: | 1114339389 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 067629-23 |
| Business Practice Address: | 80 Highland Street Laconia, NH - 032463235 |
| Business Phone Number: | 6035272896 |
| Business Fax Number: | 6035277070 |
| Mailing Address: | Po Box 678, LACONIA |
| State: | NH |
| Postal Code: | 032470678 |
| Phone Number: | 6035243211 |
| Fax Number: | 6035277164 |
| NPI Enumeration Date: | 05/22/2014 |
| NPI Last Update Date: | 06/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 067629-23 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |