Individual
MARILYN M PIEMONTESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 S. 11TH STREET, SUITE 8490, PHILADELPHIA, PA 19107-4824
(215) 955-6161
(215) 923-5507
Mailing address
111 S. 11TH STREET, SUITE 8490, PHILADELPHIA, PA 19107-4238
(215) 955-6161
(215) 923-5507
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN261399L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092404
AANA ID
PA
05
—
102798605
—
PA
Enumeration date
12/31/2012
Last updated
07/21/2022
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