Individual provider · Type 1 NPI
Marcie Ann McComb, CRNP
Pediatric Nurse Practitioner · Phila, PA
NPI number
1891075792
Active
Practice location
3401 Civic Center Blvd
Phila, PA 19104-4319
Mailing address
104 Ceton Ct
Broomall, PA 19008-2524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | UP006554D (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1891075792
Marcie Ann McComb, CRNP's National Provider Identifier is 1891075792, issued on Aug 23, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phila, PA. The record was last updated on Dec 11, 2017.