Individual provider · Type 1 NPI

Mara Roye Crispin

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1295675239 Active

Practice location

4170 City Ave
Philadelphia, PA 19131-1610

Call (215) 871-6693 Map

Mailing address

28 Riva Ridge Ln
Bear, DE 19701-3358

Other practice locations

  • 100 E Lancaster Ave, Penn Wynne, PA 19096-3450 · (215) 871-6693
  • 8835 Germantown Ave, Philadelphia, PA 19118-2718 · (215) 871-6693

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295675239

Mara Roye Crispin's National Provider Identifier is 1295675239, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 7, 2026.