Individual
MARISA LONGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5230 CENTRE AVE, PITTSBURGH, PA 15232-1304
(412) 623-1040
Mailing address
1634 1/2 STATE AVE, CORAOPOLIS, PA 15108-2018
(412) 956-9274
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN610777
PA
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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