ELIZABETH MAULK MARANDOLA CRNP NPI 1578727285

NPI Information

NPI: 1578727285
Provider Name: ELIZABETH MAULK MARANDOLA, CRNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
3400 SPRUCE ST
1 RAVDIN
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-6698
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Elizabeth Maulk Marandola, CRNP is an acute care nurse practitioner in Philadelphia, PA with 17 years of experience. Elizabeth Maulk Marandola, CRNP NPI is 1578727285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

3400 SPRUCE ST
1 RAVDIN
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 662-6698

The NPI 1578727285 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2008 and was last updated on 2/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	SP009863	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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