IndividualActive
Marshall Ayer, R.N.
NPI 1245769322 · Nutrition Support Registered Nurse · Bluford, IL
Provider details
- NPI number
- 1245769322
- Entity type
- Individual
- Primary specialty
- Nutrition Support Registered NurseNursing Service Providers
- Credential
- R.N.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 041.300163 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
156 Il Highway 15
Bluford, IL 62814-3630
Phone: (618) 734-6062
Approximate (ZIP-level) locationGet directions
Mailing address
156 Il Highway 15
Bluford, IL 62814-3630
Registry dates
- Enumerated
- 2017-06-12
- Last updated
- 2017-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.