| Doctor Name: | MRS. TERESA ANN MARSHALL |
| NPI Number: | 1366613960 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP60009330 |
| Business Practice Address: | 14812 State Route 162 E Orting, WA - 983609510 |
| Business Phone Number: | 3608720243 |
| Business Fax Number: | 3608728094 |
| Mailing Address: | Po Box 2058, ORTING |
| State: | WA |
| Postal Code: | 983602058 |
| Phone Number: | 3608720243 |
| Fax Number: | 3608728094 |
| NPI Enumeration Date: | 03/22/2008 |
| NPI Last Update Date: | 05/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP60009330 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |