Individual provider · Type 1 NPI
Marrisa Shelley Kuba, RN, CRNP, MS
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1821292954
Active
Practice location
2100 S 24th St
Philadelphia, PA 19145-3222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP011636 (PA) |
| Registered Nurse | 163W00000X | RN287003L (PA) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1821292954
Marrisa Shelley Kuba, RN, CRNP, MS's National Provider Identifier is 1821292954, issued on Jun 13, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 7, 2015.