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NPI Code Detail

MEDICARE: ASHLEY MARRA APN

MEDICARE: ASHLEY MARRA APN
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
1363LF0000XFamily Nurse PractitionerSP028170PA

General Provider Information

NPI Number : 1366210098
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MARRA APN
Provider Business Mailing Address
First Line : 124 OVERLEAF DR
Second Line :
City : THORNDALE
State : PA
Zip : 19372-1161
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 107 TOWN CENTER RD
Second Line :
City : KING OF PRUSSIA
State : PA
Zip : 19406-2330
Country : US
Telephone Number : 551-999-0922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2023
Last Update Date : 07/18/2024

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