Marra, Deborah L

Marra, Deborah L is an individual health care provider with primary practice located at 1802 Harper Rd Ste 102, Beckley WV 25801-3376. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Marra, Deborah L can be contacted via phone (304) 252-9211.

Contact Information

Primary practice address
1802 Harper Rd Ste 102 Beckley WV 25801-3376
Phone: (304) 252-9211
Fax: (304) 252-9218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 24494 West Virginia

Profile Details

NPI number 1700877644
LBN Legal business name Marra, Deborah L
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Oct 23rd, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700877644 NPPES
West Virginia MEDICAID 0166923000
West Virginia Other 001714987

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