Individual
MARIE A MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
700 SPRUCE ST, SUITE 305, PHILADELPHIA, PA 19106-4022
(215) 829-3697
(215) 829-8451
Mailing address
800 WALNUT ST, 20TH FLOOR, PHILADELPHIA, PA 19107-5176
(215) 829-8713
(215) 829-5350
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP010089
PA
363LG0600X
Gerontology Nurse Practitioner
SP010622
PA
Other
Enumeration date
12/17/2008
Last updated
08/27/2015
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