Provider Demographics
NPI:1699792184
Name:SHULL, MARSHA L (NP)
Entity type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:L
Last Name:SHULL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32154 WEST RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19945-2841
Mailing Address - Country:US
Mailing Address - Phone:302-539-5026
Mailing Address - Fax:
Practice Address - Street 1:34314 PYLE CENTER RD
Practice Address - Street 2:
Practice Address - City:FRANKFORD
Practice Address - State:DE
Practice Address - Zip Code:19945-3277
Practice Address - Country:US
Practice Address - Phone:302-732-9512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0000115363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health