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Individual

BROOKE NICOLE MARVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
191 ERIE BLVD, SUSQUEHANNA, PA 18847-2833
(570) 853-0911
Mailing address
17933 STATE ROUTE 92, SUSQUEHANNA, PA 18847-7531
(570) 396-5422

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP028089
PA

Other

Enumeration date
08/21/2023
Last updated
08/21/2023
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