Healthcare Provider Details

I. General information

NPI: 1467244459
Provider Name (Legal Business Name): MARY ANN ROMARATE ARNADO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 E BALTIMORE AVE
EAST LANSDOWNE PA
19050-2749
US

IV. Provider business mailing address

1209 HEARTWOOD DR
CHERRY HILL NJ
08003-2739
US

V. Phone/Fax

Practice location:
  • Phone: 215-510-3437
  • Fax:
Mailing address:
  • Phone: 609-519-9623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSPO32206
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: