Provider Demographics
NPI:1154947687
Name:MARSH, AUBREY (RD)
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:
Last Name:MARSH
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 DENROCK AVE
Mailing Address - Street 2:
Mailing Address - City:DALHART
Mailing Address - State:TX
Mailing Address - Zip Code:79022-4207
Mailing Address - Country:US
Mailing Address - Phone:580-231-1284
Mailing Address - Fax:
Practice Address - Street 1:1119 DENROCK AVE
Practice Address - Street 2:
Practice Address - City:DALHART
Practice Address - State:TX
Practice Address - Zip Code:79022-4207
Practice Address - Country:US
Practice Address - Phone:580-231-1284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-20
Last Update Date:2020-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered