Individual
MRS. DEBORAH L MARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1802 HARPER RD, STE 102, BECKLEY, WV 25801-3376
(304) 252-9211
(304) 252-9218
Mailing address
321 S EISENHOWER DR, BECKLEY, WV 25801-5849
(304) 256-6500
(304) 929-6501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24494
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001714987
BC
WV
05
—
0166923000
—
WV
Enumeration date
10/31/2005
Last updated
10/23/2018
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