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Contact Information

JOSEPH F MARRA JR, CRNP
400 HARDING ST
CLAYTON, NM88415-3339
 Phone: 814-943-6111
 Fax: 914-943-6118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for JOSEPH F MARRA JR · (Male)

NPI Number 1235190596
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 03/28/2006
Last updated 01/28/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # CNP-01916
  • PA License # SP007906
  • NM Medicaid 50706756
  • OK Medicaid 200515230A
  • PA Other 1015127860001 ACCESS
  • PA Other 571228130 DEVON
  • PA Other 1813844 HIGHMARK PPO
  • PA Other 571228130 TRICARE
  • PA Other 57-122813 UMWA
  • PA Other 57-1228130 VANTAGE PPO
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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