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Individual

MARIANNE E MCCOOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2595 INTERSTATE DR, SUITE 103, HARRISBURG, PA 17110-9378
(386) 672-4222
(386) 672-8855
Mailing address
2595 INTERSTATE DR, SUITE 103, HARRISBURG, PA 17110-9378
(386) 672-4222
(386) 672-8855

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP3421552
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000872600
FL
Enumeration date
08/08/2006
Last updated
09/05/2013
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