Individual
ELIZABETH MAULK MARANDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, 1 RAVDIN, PHILADELPHIA, PA 19104-4206
(215) 662-6698
Mailing address
3400 SPRUCE ST, 1 RAVDIN, PHILADELPHIA, PA 19104-4206
(215) 662-6698
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP009863
PA
Other
Enumeration date
07/11/2008
Last updated
02/13/2020
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