Provider Demographics
NPI:1962265694
Name:DOUGLAS, MARSHEA LASHONE
Entity type:Individual
Prefix:PROF
First Name:MARSHEA
Middle Name:LASHONE
Last Name:DOUGLAS
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 1:3454 MARCH TER
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-5423
Mailing Address - Country:US
Mailing Address - Phone:513-834-0605
Mailing Address - Fax:
Practice Address - Street 1:3454 MARCH TER
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-5423
Practice Address - Country:US
Practice Address - Phone:513-834-0605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker