Individual
TICORA ELIZABETH MARABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 HOLME AVE, PHILADELPHIA, PA 19152
(215) 335-6300
Mailing address
1329 ROTHLEY AVE, ABINGTON, PA 19001-2414
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP018549
PA
363LA2100X
Acute Care Nurse Practitioner
SP018549
PA
363LC1500X
Community Health Nurse Practitioner
SP018549
PA
363LG0600X
Gerontology Nurse Practitioner
SP018549
PA
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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