Provider Demographics
NPI:1871782730
Name:MARSH, KATHERINE LOUISE (RN)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:LOUISE
Last Name:MARSH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 WILLIS WAY
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45327-1631
Mailing Address - Country:US
Mailing Address - Phone:937-855-4351
Mailing Address - Fax:
Practice Address - Street 1:38 WILLIS WAY
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:OH
Practice Address - Zip Code:45327-1631
Practice Address - Country:US
Practice Address - Phone:937-855-4351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN219940163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse