Individual
MARY ANN MURARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6662 IVY LN, ALLENTOWN, PA 18106-9764
(610) 791-1173
Mailing address
6662 IVY LN, ALLENTOWN, PA 18106-9764
(610) 791-1173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN137448L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
015207
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027798980001
—
PA
01
—
11776583
CAQH
PA
Enumeration date
10/04/2005
Last updated
06/17/2013
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