Provider Demographics
NPI:1538922588
Name:MARSHALL, AISHA ARIELLE (NP)
Entity type:Individual
Prefix:
First Name:AISHA
Middle Name:ARIELLE
Last Name:MARSHALL
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 1:2020 BUSINESS CENTER DR APT 14102
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7314
Mailing Address - Country:US
Mailing Address - Phone:979-900-8556
Mailing Address - Fax:
Practice Address - Street 1:2020 BUSINESS CENTER DR APT 14102
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7314
Practice Address - Country:US
Practice Address - Phone:979-900-8556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95028888363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily