ANDREA MICHELLE MARSHALL-DIVER NPI 1184265639

NPI Information

NPI: 1184265639
Provider Name: ANDREA MICHELLE MARSHALL-DIVER
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

Address:
2925 RUSSELL ST
DETROIT, MI
ZIP 48207
Phone: (313) 396-5300
Get Directions

Andrea Michelle Marshall-diver is a general practice registered nurse in Detroit, MI. Andrea Michelle Marshall-diver NPI is 1184265639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2925 RUSSELL ST
DETROIT, MI
ZIP 48207
Phone: (313) 396-5300

The enumeration date for this NPI number is 10/7/2019 and was last updated on 10/7/2019.

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
1	163WG0000X	Registered Nurse	General Practice	4704255578	MICHIGAN	Yes

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: 11/14/2023

NPI Synchronization or Removal

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