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MARRISA SHELLEY KUBA RN CRNP MS NPI 1821292954


NPI Information

NPI: 1821292954
Provider Name: MARRISA SHELLEY KUBA, RN, CRNP, MS
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
2100 S 24TH ST
PHILADELPHIA, PA
ZIP 19145
Phone: (215) 952-8611
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Marrisa Shelley Kuba, RN, CRNP, MS is a pediatrics nurse practitioner in Philadelphia, PA. Marrisa Shelley Kuba, RN, CRNP, MS NPI is 1821292954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2100 S 24TH ST
PHILADELPHIA, PA
ZIP 19145-222
Phone: (215) 952-8611

The enumeration date for this NPI number is 6/13/2007 and was last updated on 9/7/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseRN287003LPENNSYLVANIANo
2363LP0200XNurse PractitionerPediatricsSP011636PENNSYLVANIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.