MARINA LYNN MILETICH

Address: 925 Chestnut St, Philadelphia, PA 19107-4216
Phone: 2159558874

MARINA LYNN MILETICH (NPI# 1467846691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467846691
Entity Type 1 - Individual
Full Name MARINA LYNN MILETICH
Credential AGPCNP-BC
Practice Address 925 Chestnut St
Philadelphia
PA 19107-4216
Mailing Address 925 Chestnut St
Suite 420a
Philadelphia
PA 19107-4216
Practice Telephone 2159558874
Practice Fax Number 2159552010
Enumeration Date 03/25/2015
Last Update Date 04/27/2016
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
SPO014665 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 103087457 05

Office Location

Street Address 925 CHESTNUT ST
City PHILADELPHIA
State PA
Zip Code 19107-4216

Providers with the same location

NPI Name Address
1417953647 PAUL EDWARD SULLIVAN 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216
1073510038 CHRISTOPHER MARTIN ALAND 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216
1902804362 STEPHEN ANDREW SEFTCHICK 925 Chestnut St, Suite 6f, Physical Therapy, Philadelphia, PA 19107-4216
1760480933 STEPHANIE SELLECCHIA 925 Chestnut St, Philadelphia, PA 19107-4216
1013905512 WILLIAM KEVIN KELLY 925 Chestnut St, Suite 320a, Philadelphia, PA 19107-4216
1194713495 DR. MAYSA M ABU-KHALAF 925 Chestnut St, Suite 320a, Philadelphia, PA 19107-4216
1760470991 MR. MICHAEL GREG NOLAN 925 Chestnut St, Philadelphia, PA 19107-4216
1194713271 THOMAS R KLUMPP 925 Chestnut St, Suite 320a, Philadelphia, PA 19107-4216
1124016043 MR. JOHN RICHARD WORLEY 925 Chestnut St, Philadelphia, PA 19107-4216
1871578351 DR. JOHN ALEXANDER ABRAHAM 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216

Competitor

Search similar physicians

City PHILADELPHIA
Zip Code 19107

Improve Information

Please comment or provide details below to improve the information on .

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.