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Individual

ERICA LEE MARMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711-0027
(570) 808-7300
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN653698
PA
363L00000X
Nurse Practitioner
F09200601
PA
363L00000X
Nurse Practitioner
Primary
SP022687
PA

Other

Enumeration date
09/01/2020
Last updated
11/11/2020
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