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Individual
MARTHA FROM
Active
Individual
MARTHA FROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
RN165549L
PA
363L00000X
Nurse Practitioner
Primary
TP006079B
PA
363LF0000X
Family Nurse Practitioner
TP006079B
PA
Other
Enumeration date
03/30/2007
Last updated
08/16/2018
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