Individual
MARINA LYNN ANTINOZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
3941 COMMERCE AVE, WILLOW GROVE, PA 19090-1104
(215) 481-2800
(215) 481-6741
Mailing address
3941 COMMERCE AVE, WILLOW GROVE, PA 19090-1104
(215) 481-2800
(215) 481-6741
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SPO014665
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103087457
—
PA
Enumeration date
03/25/2015
Last updated
08/16/2019
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