Antinozzi, Marina Lynn
Antinozzi, Marina Lynn is an individual health care provider with primary practice located at 3941 Commerce Ave , Willow Grove PA 19090-1104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Antinozzi, Marina Lynn can be contacted via phone (215) 481-2800.Contact Information
Primary practice address
3941 Commerce Ave
Willow Grove PA 19090-1104
Phone: (215) 481-2800
Fax: (215) 481-6741
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | SPO014665 | Pennsylvania |
Profile Details
NPI number | 1467846691 |
---|---|
LBN Legal business name | Antinozzi, Marina Lynn |
Credentials | AGPCNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 25th, 2015 |
Last updated | Aug 16th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467846691 | NPPES |
Pennsylvania | MEDICAID | 103087457 |
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