Individual
MARJORIE A CHIAVACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
408 ROUTE 70 EAST, CHERRY HILL, NJ 08034
(215) 829-3867
(215) 829-5567
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(800) 394-4445
(706) 434-8806
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NR07942400
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
RN286751L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50077109
CAPIITAL BLUE CROSS, KEYSTONE CENTRAL, SENIOR BLUE
PA
01
—
P00614951
RAILROAD MEDICARE
PA
Enumeration date
07/13/2006
Last updated
01/09/2022
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