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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467846691 NPPES
Pennsylvania MEDICAID 103087457

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