PAUL EVERETT MARSHALL NPI 1134994627

NPI Information

  • NPI: 1134994627
  • Provider Name: PAUL EVERETT MARSHALL
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 1412 E BOSTON ST
    BROKEN ARROW, OK
    ZIP 74012
  • Phone: (918) 340-4253

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NPI Details

Paul Everett Marshall is a peer specialist in Broken Arrow, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Paul Everett Marshall NPI is 1134994627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1412 E BOSTON ST
BROKEN ARROW, OK
ZIP 74012-260
Phone: (918) 340-4253

The enumeration date for this NPI number is 11/15/2023 and was last updated on 11/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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