Individual
MARLENE IANNOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
VETERANS ADMINISTRATION MEDICAL CENTER, PHILADELPHIA, PA 19104
(215) 823-5800
Mailing address
309 GROVE AVE, WEST BERLIN, NJ 08091-9249
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
25N007153600
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00185300
NJ
Other
Enumeration date
06/20/2005
Last updated
02/05/2026
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