Individual
PATRICIA CATHERINE MARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 VILLAGE DR, MIDDLETOWN, DE 19709-1235
(302) 222-5841
Mailing address
630 VILLAGE DR, MIDDLETOWN, DE 19709-1235
(302) 222-5841
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0030304
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L1-0030304
EMPLOYEE
DE
Enumeration date
03/05/2019
Last updated
03/05/2019
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