MEDICARE: MARA E PADULA MSN, FNP-BC

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	363LF0000X	Family Nurse Practitioner	SP034974	PA

General Provider Information

NPI Number	:	1043149040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARA E PADULA MSN, FNP-BC

Provider Business Mailing Address
First Line	:	212 GROUSE HILL RD
Second Line	:
City	:	NORTH ABINGTON TOWNSHIP
State	:	PA
Zip	:	18414-8108
Country	:	US
Telephone Number	:	570-702-9352
Fax Number	:

Provider Business Practice Location Address
First Line	:	212 GROUSE HILL RD
Second Line	:
City	:	NORTH ABINGTON TOWNSHIP
State	:	PA
Zip	:	18414-8108
Country	:	US
Telephone Number	:	570-702-9352
Fax Number	:

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

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

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