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NPI Code Detail

MEDICARE: BRITTANY MARRA PA

MEDICARE:   BRITTANY  MARRA  PA
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
1363A00000XPhysician AssistantMA057602PA

General Provider Information

NPI Number : 1104206788
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY MARRA PA
Provider Business Mailing Address
First Line : 1224 7TH AVE
Second Line :
City : ALTOONA
State : PA
Zip : 16602-2402
Country : US
Telephone Number : 814-944-8784
Fax Number :
Provider Business Practice Location Address
First Line : 1224 7TH AVE
Second Line :
City : ALTOONA
State : PA
Zip : 16602-2402
Country : US
Telephone Number : 814-944-8784
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2015
Last Update Date : 02/13/2019

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Directions to “ BRITTANY MARRA PA” Practice Location

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