Tammy Marshall, LPN

Individual provider Active NPI Licensed Practical Nurse · Elsmere, KY

NPI 1366165334 · NPPES record last updated Jan 11, 2024

Key facts

NPI
1366165334
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
2032610 (KY)
Practice address
4135 Dixie Hwy
Elsmere, KY 41018-1815
Phone
(833) 510-4357
NPI assigned
Sep 23, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2032610KYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2032610 KY Yes

Addresses

Primary practice location

4135 Dixie Hwy
Elsmere, KY 41018-1815

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (513) 873-1269

Other providers in Elsmere, KY

All providers in Elsmere, KY · Licensed Practical Nurse in Kentucky

Sources for this page

Verify at the official NPI Registry.