Provider Demographics
NPI:1154517373
Name:DEPEW, MARSHA LEIGH (RN)
Entity type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:LEIGH
Last Name:DEPEW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E CAPOVILLA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4340
Mailing Address - Country:US
Mailing Address - Phone:702-260-7329
Mailing Address - Fax:702-896-5603
Practice Address - Street 1:505 E CAPOVILLA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4340
Practice Address - Country:US
Practice Address - Phone:702-260-7329
Practice Address - Fax:702-896-5603
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN15427163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health