MR. KEVIN JAMES MARSTON AGACNP-BC NPI 1720688443

NPI Information

NPI: 1720688443
Provider Name: MR. KEVIN JAMES MARSTON, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: INTEGRATED HEALTHCARE MOBILE SOLUTIONS, LLC

PECOS Registration: Yes

Address:
6602 E PHELPS RD
SCOTTSDALE, AZ
ZIP 85254
Phone: (207) 831-2002
Get Directions

MR. Kevin James Marston, AGACNP-BC is an acute care nurse practitioner in Scottsdale, AZ with 4 years of experience. MR. Kevin James Marston, AGACNP-BC NPI is 1720688443. 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:

6602 E PHELPS RD
SCOTTSDALE, AZ
ZIP 85254-659
Phone: (207) 831-2002

The NPI 1720688443 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 10/30/2020 and was last updated on 11/30/2021.

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	363L00000X	Nurse Practitioner		249498	ARIZONA	No
2	363LA2100X	Nurse Practitioner	Acute Care	249498	ARIZONA	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	1720688443	MEDICAID	ARIZONA

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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