Provider Demographics
NPI:1346088937
Name:DAWE, MARSHA S
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:S
Last Name:DAWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24637 WOOLLY MAMMOTH TER UNIT 304
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-3230
Mailing Address - Country:US
Mailing Address - Phone:618-694-4190
Mailing Address - Fax:
Practice Address - Street 1:24637 WOOLLY MAMMOTH TER UNIT 304
Practice Address - Street 2:
Practice Address - City:ALDIE
Practice Address - State:VA
Practice Address - Zip Code:20105-3230
Practice Address - Country:US
Practice Address - Phone:618-694-4190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant