Wanda M Marshall, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

C063535 Issued in IA

Practice address

1001 Yosemite St
Suite 200
Denver, CO 80230-6074

Phone

(303) 602-8968

Fax

(303) 602-8956

NPI assigned

Sep 26, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wanda M Borchardt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: wmarshall9711@direct.dhha.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715472000000",
    "number": "1366438202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 YOSEMITE ST",
            "address_2": "SUITE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306074",
            "telephone_number": "303-602-8968",
            "fax_number": "303-602-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 YOSEMITE ST",
            "address_2": "SUITE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306074",
            "telephone_number": "303-602-8968",
            "fax_number": "303-602-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "WANDA",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2024-05-12",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C063535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0452649",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WANDA",
            "last_name": "BORCHARDT",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meridith Marshall, MFTC
• Michelle Rose Marshall
• Random Marshall
• Setsu Marshall, LOJ
• Tahaijanae J Marshall
• Zero Marshall
• Michael Marsico, MSW, LCSW
• Alicia O Martel, LSW
• Rita M. Martel, NP
• Chad Williams Martell, PHARM.D.

• Pediatric Nurse Practitioner in Denver, CO
• Providers in Denver, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.