Provider Demographics
NPI:1396330031
Name:DARBY, MARSHALL HEATH (APRN)
Entity type:Individual
Prefix:MR
First Name:MARSHALL
Middle Name:HEATH
Last Name:DARBY
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33618 DOLORES CT
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34788-3823
Mailing Address - Country:US
Mailing Address - Phone:352-933-1885
Mailing Address - Fax:
Practice Address - Street 1:33618 DOLORES CT
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-3823
Practice Address - Country:US
Practice Address - Phone:352-933-1885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-04
Last Update Date:2024-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11011896363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily