Provider Demographics
NPI:1114801115
Name:WOOD, MARSHUN CHRISTINE (LVN)
Entity type:Individual
Prefix:MS
First Name:MARSHUN
Middle Name:CHRISTINE
Last Name:WOOD
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MS
Other - First Name:MARSHUN
Other - Middle Name:CHRISTINE
Other - Last Name:DENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:5900 BALCONES DR STE 6241
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4257
Mailing Address - Country:US
Mailing Address - Phone:940-240-8414
Mailing Address - Fax:
Practice Address - Street 1:5900 BALCONES DR STE 6241
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4257
Practice Address - Country:US
Practice Address - Phone:940-240-8414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN206564164X00000X
TX353768164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse