Provider Demographics
NPI:1215708334
Name:DULEY, MARSHA HAMMER (RN BSN)
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:HAMMER
Last Name:DULEY
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:MARSHA
Other - Middle Name:
Other - Last Name:HAMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:438 ROSEWOOD LN APT 15
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-5706
Mailing Address - Country:US
Mailing Address - Phone:503-347-8203
Mailing Address - Fax:
Practice Address - Street 1:3875 STADIUM WAY DEPT 3903
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84408-5706
Practice Address - Country:US
Practice Address - Phone:801-626-7833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10350271-3102390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program