Individual
MRS. CHARLENE ANN MARSICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5 MORGAN HWY, SUITE 4, SCRANTON, PA 18508-2641
(570) 344-3788
(570) 969-9280
Mailing address
2413 RANSOM RD, CLARKS SUMMIT, PA 18411-9570
(570) 586-2515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TP003395B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018463
BLUE CARE
PA
05
—
101217060001
—
PA
01
—
500005802
RAILROAD MEDICARE
PA
01
—
50076461
CAPITAL BLUE CROSS
PA
Enumeration date
09/09/2005
Last updated
04/22/2008
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