| Ms Kathleen Bridget Marshall, CPNP | |
|
717 Mission Rd., Fort Hall, ID 83203-0717 | |
| (208) 238-5435 | |
| Not Available |
| Full Name | Ms Kathleen Bridget Marshall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 717 Mission Rd., Fort Hall, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568679603 | NPI | - | NPPES |
| 8063500 | Medicaid | ID | |
| 8064977 | Medicaid | ID | |
| 80662922 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | NP433A (Idaho) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | NP433A (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kathleen Bridget Marshall, CPNP 9530 W Heather Rd, Pocatello, ID 83204-7232 Ph: (208) 233-7699 | Ms Kathleen Bridget Marshall, CPNP 717 Mission Rd., Fort Hall, ID 83203-0717 Ph: (208) 238-5435 |
Dr. Jesse Tellez Hernandez, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Building 70 Navajo Drive, Fort Hall, ID 83203 Phone: 208-478-3987 Fax: 208-478-4040 |