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Avera Marshall
Family Nurse Practitioner in Ivanhoe, Minnesota
NPI 1902246168

Avera Marshall is a Family Nurse Practitioner based in Ivanhoe, MN and is specialized in Family. Avera Marshall practices in Ivanhoe, MN. The NPI Number for Avera Marshall is 1902246168 and holds a License No. (Minnesota).

The current practice location address for Avera Marshall is 312 E George St, Ivanhoe, MN and can be reached out via phone at 507-694-1414.

Location: 312 E George St, Ivanhoe, MN, 56142-9707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902246168
Provider Name
Avera Marshall
Credential
Provider Entity Type
Organization
Address
312 E George St, Ivanhoe, MN, 56142-9707
Phone Number
507-694-1414
Fax Number
Provider Enumeration Date
07/02/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019545600 05 MN
institution
Provider Business Practice Location Address Details
Address
312 E George St
City
Ivanhoe
State
Minnesota
Zip
56142-9707
Phone Number
507-694-1414
Fax Number
person
Provider Business Mailing Address Details
Address
312 E George St
City
Ivanhoe
State
Minnesota
Zip
56142-9707
Phone Number
507-694-1414
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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