Doctor Name: | JOANNE RUTH MARSH |
NPI Number: | 1285636712 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | R54246 |
Business Practice Address: | 530 Demoss Street Lordsburg, NM - 88045 |
Business Phone Number: | 5055428384 |
Business Fax Number: | 5055428387 |
Mailing Address: | 530 Demoss Street, LORDSBUSRG |
State: | NM |
Postal Code: | 88045 |
Phone Number: | 5055428384 |
Fax Number: | 5055428387 |
NPI Enumeration Date: | 08/15/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | R54246 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |