person
Marissa Marie Sudomoin, NP
Primary Care Nurse Practitioner in Paoli, Pennsylvania
NPI 1518624360

Marissa Marie Sudomoin is a Primary Care Nurse Practitioner based in Paoli, PA and is specialized in Primary Care. Marissa Marie Sudomoin practices in Paoli, PA and has the professional credentials of NP. The NPI Number for Marissa Marie Sudomoin is 1518624360 and holds a License No. SP023134 (Pennsylvania).

The current practice location address for Marissa Marie Sudomoin is 255 W Lancaster Ave, Paoli, PA and can be reached out via phone at 484-565-1601.

Location: 255 W Lancaster Ave, Paoli, PA, 19301-1763
person
Provider Profile Details
NPI Number
1518624360
Provider Name
Marissa Marie Sudomoin
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
255 W Lancaster Ave, Paoli, PA, 19301-1763
Phone Number
484-565-1601
Fax Number
Provider Enumeration Date
11/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
255 W Lancaster Ave
City
State
Zip
19301-1763
Phone Number
484-565-1601
Fax Number
person
Provider Business Mailing Address Details
Address
255 W Lancaster Ave
City
State
Zip
19301-1763
Phone Number
484-565-1601
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
SP023134 (Pennsylvania)
Definition
Definition to come...
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