NPI
Andrea Marshall
NPI 1336592096
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2016-07-18
- Last updated
- 2016-07-18
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Specialties
Licenses
- License NM
- rp00007636
- License IL
- 051291212
- License OH
- rph.03329307-3
- License FL
- ps54787
Location
- Practice location
- 3728 N Prince St
- City
- Clovis NM
- Postal code
- 88101-9744
- Phone
- (575) 769-2389
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Clovis, NM. 1,417 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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