Healthcare Provider Details

I. General information

NPI: 1801336516
Provider Name (Legal Business Name): MARLEY L FERRARO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARLEY L SMIT CRNA

II. Dates (important events)

Enumeration Date: 02/28/2017
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 KEMPSVILLE RD STE 114
NORFOLK VA
23502-3800
US

IV. Provider business mailing address

10770 COLUMBIA PIKE STE 400
SILVER SPRING MD
20901-4462
US

V. Phone/Fax

Practice location:
  • Phone: 757-466-0165
  • Fax:
Mailing address:
  • Phone: 215-589-9012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR200996
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number26NJ00710000
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number95001129
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024180061
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: