| Provider / Organization | NPI | Date Certified |
|---|---|---|
| WANDA M MARSHALL | 1366438202 | 2024-05-12 |
Wanda M Marshall is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1366438202. Registration indicates Wanda M Marshall is a provider of access to pediatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Pediatrics, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Pediatrics, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Wanda M Marshall ARNP |
| Other Provider Name | Wanda M Borchardt |
| Practice Office Address | 1001 YOSEMITE ST SUITE 200 DENVER, CO US |
| Practice Office Telephone | 3036028968 |
| Practice Office Fax | 3036028956 |
| Mailing Address | 1001 YOSEMITE ST SUITE 200 DENVER, CO 802306074 US |
| Business Telephone | 3036028968 |
| Business Fax | 3036028956 |
| Code | Practice | License No State |
|---|---|---|
| 363LP0200X PRIMARY | Access to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Pediatrics All Other Specialties & Provider Types Nurse Practitioner Pediatrics Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | C063535
IA |
| 0452649 | MEDICAID | IA |