Individual
MARIE ELLEN NIVEN-HIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
5039 GRISCOM ST, PHILADELPHIA, PA 19124-2623
(215) 606-8862
Mailing address
5039 GRISCOM ST, PHILADELPHIA, PA 19124-2623
(215) 606-8862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
239766
PA
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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