Marshall Advanced Nursing Practice PC
Nurse Practitioner, Psych/Mental Health in Ontario, CA. Organization (NPI-2).
NPI number1184453052
StatusActive
Last updated in NPPESFeb 24, 2026
Details
- NPI
- 1184453052
- Entity type
- Organization (NPI-2)
- Legal business name
- Marshall Advanced Nursing Practice PC
- Organization subpart
- No
- Enumeration date
- Jul 30, 2024
- Certification date
- Feb 24, 2026
- Last updated
- Feb 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
3200 E Guasti RdOntario, CA 91761-8660
Phone 909-755-6610 · Fax 909-385-3335
Mailing address
3200 E Guasti RdOntario, CA 91761-8660
Phone 909-755-6610 · Fax 909-385-3335
Authorized official
Michael Marshall
Manager
9097556610
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