MEDICARE: MS. MARIANNE A. NATALI CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	SP006823B	PA

General Provider Information

NPI Number	:	1144348004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIANNE A. NATALI CRNP

Provider Business Mailing Address
First Line	:	190 NANTMEAL RD.
Second Line	:
City	:	GLENMOORE
State	:	PA
Zip	:	19349
Country	:	US
Telephone Number	:	215-432-4579
Fax Number	:

Provider Business Practice Location Address
First Line	:	1025 WALNUT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5001
Country	:	US
Telephone Number	:	215-955-6996
Fax Number	:	215-955-6010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	07/08/2007

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