Provider Demographics
NPI:1144310764
Name:MOUSER, MARSHA GAY (RN)
Entity type:Individual
Prefix:MISS
First Name:MARSHA
Middle Name:GAY
Last Name:MOUSER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:MARSHA
Other - Middle Name:GAY
Other - Last Name:HUGGARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:12100 W 66TH ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66216-2722
Mailing Address - Country:US
Mailing Address - Phone:913-268-8804
Mailing Address - Fax:
Practice Address - Street 1:2940 BALTIMORE
Practice Address - Street 2:TRINITY, COED,
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108
Practice Address - Country:US
Practice Address - Phone:816-931-6500
Practice Address - Fax:816-554-4370
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-37862-051163W00000X
MO057044163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)