Individual
MARILYN WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 CONVENTION AVE, 4 PENN TOWER, PHILADELPHIA, PA 19104-4311
(215) 662-6488
Mailing address
1 CONVENTION AVE, 4 PENN TOWER, PHILADELPHIA, PA 19104-4311
(215) 662-6488
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
VP002326C
PA
Other
Enumeration date
10/02/2006
Last updated
03/03/2014
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