Individual
MRS. MARCIE ANN MCCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILA, PA 19104-4319
(267) 425-4650
Mailing address
104 CETON CT, BROOMALL, PA 19008-2524
(610) 356-4058
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
UP006554D
PA
Other
Enumeration date
08/23/2011
Last updated
12/11/2017
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