Individual
SUSAN M. MARULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, CDE
Contact information
Practice address
NATIONAL NAVAL MEDICAL CTR, 8901 WISCONSIN AVENUE, BETHESDA, MD 20889-5600
(301) 319-8190
Mailing address
NATIONAL NAVAL MEDICAL CTR, 8901 WISCONSIN AVENUE, BETHESDA, MD 20889-5600
(301) 319-8190
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R103485
MD
Other
Enumeration date
02/06/2006
Last updated
02/02/2011
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