JULIE R MARSHALL R.N. A.P.N. NPI 1669689584

NPI Information

NPI: 1669689584
Provider Name: JULIE R MARSHALL, R.N., A.P.N.
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
6636 RIDGE ROAD
DARIEN, IL
ZIP 60561
Phone: (630) 863-3754
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Julie R Marshall, R.N., A.P.N. is a gerontology nurse practitioner in Darien, IL. Julie R Marshall, R.N., A.P.N. NPI is 1669689584. 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:

6636 RIDGE ROAD
DARIEN, IL
ZIP 60561
Phone: (630) 863-3754
Fax: (630) 789-9093

The NPI 1669689584 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/7/2019.

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	163W00000X	Registered Nurse		041-190862	ILLINOIS	No
2	363LP2300X	Nurse Practitioner	Primary Care	9387-33	WISCONSIN	No
3	364S00000X	Clinical Nurse Specialist		209-005927	ILLINOIS	No
4	363LG0600X	Nurse Practitioner	Gerontology	209.018852	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1316998578	OTHER	ILLINOIS	GROUP PRACTICE NPI

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: 4/28/2024

NPI Synchronization or Removal

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