Shannon Leigh Marsh
Nurse Practitioner, Primary Care in New Braunfels, TX. Individual provider (NPI-1).
NPI number1548833262
StatusActive
Last updated in NPPESJul 31, 2021
Details
- NPI
- 1548833262
- Entity type
- Individual (NPI-1)
- Name
- Shannon Leigh Marsh
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2021
- Certification date
- Jul 31, 2021
- Last updated
- Jul 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 1048924 | TX | Yes |
| 163W00000X | Registered Nurse | 937104 | TX |
Practice location
705 Landa StNew Braunfels, TX 78130-6172
Phone 830-629-3614
Mailing address
5105 Bundyhill CirAustin, TX 78723-6110
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