Individual
MARION A. REPKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1245 S CEDAR CREST BLVD STE 301, ALLENTOWN, PA 18103-6258
(610) 402-9099
(610) 402-9029
Mailing address
1245 S CEDAR CREST BLVD STE 301, ALLENTOWN, PA 18103-6258
(610) 402-9099
(610) 402-9029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN198555L
PA
363LF0000X
Family Nurse Practitioner
Primary
UP001963B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1389290
HIGHMARK
PA
Enumeration date
10/14/2005
Last updated
06/11/2012
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