Individual
MATTHEW GIBSON MARVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1301 FAYETTEVILLE ST, DURHAM, NC 27707-2325
(919) 956-4000
Mailing address
71 PROSPECT AVE STE 110, HUDSON, NY 12534-2928
(518) 828-3327
(518) 828-2532
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
351306
NY
Other
Enumeration date
06/05/2020
Last updated
09/03/2024
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