Provider Demographics
NPI:1053566265
Name:MARSH, MARY CATHERINE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:CATHERINE
Last Name:MARSH
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Gender:F
Credentials:FNP-BC
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Mailing Address - Street 1:1606 KANAWHA BLVD W
Mailing Address - Street 2:CHARLESTON AREA MEDICAL CENTER
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25387-2536
Mailing Address - Country:US
Mailing Address - Phone:304-388-6140
Mailing Address - Fax:304-388-6150
Practice Address - Street 1:501 MORRIS ST
Practice Address - Street 2:CHARLESTON AREA MEDICAL CENTER, INC.
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1326
Practice Address - Country:US
Practice Address - Phone:304-388-6140
Practice Address - Fax:304-388-6150
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2016-01-28
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Provider Licenses
StateLicense IDTaxonomies
WV39999363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily