Doctor Name: | MARJORIE PATRICIA NYARKO |
NPI Number: | 1952704215 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F380966 |
Business Practice Address: | 100 Community Dr Suite 102 Tobyhanna, PA - 184668985 |
Business Phone Number: | 5708398754 |
Business Fax Number: | 5708391079 |
Mailing Address: | 206 E Brown St, EAST STROUDSBURG |
State: | PA |
Postal Code: | 183013006 |
Phone Number: | 5708398754 |
Fax Number: | 5708391079 |
NPI Enumeration Date: | 10/01/2014 |
NPI Last Update Date: | 08/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | F380966 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |