Individual
MARNIE A DIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
491 E 8TH AVE, HOMESTEAD, PA 15120-1901
(866) 419-1693
Mailing address
466 SATINWOOD DR, WEST MIFFLIN, PA 15122-1244
(412) 478-4185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN501281L
PA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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