Healthcare Provider Details

I. General information

NPI: 1881481380
Provider Name (Legal Business Name): MARLYN ECHEVARRIA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 PLAZA CT STE B
EAST STROUDSBURG PA
18301-8262
US

IV. Provider business mailing address

412 NORTON RD
STROUDSBURG PA
18360-9108
US

V. Phone/Fax

Practice location:
  • Phone: 570-426-2301
  • Fax:
Mailing address:
  • Phone: 915-539-1536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP032168
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: