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Mary Bleszcz-Marmorato, FNP

Nurse Practitioner, Family in Little River, SC. Individual provider (NPI-1).

NPI number1811201411
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1811201411
Entity type
Individual (NPI-1)
Name
Mary Bleszcz-Marmorato
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 6, 2010
Certification date
Mar 1, 2022
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family336441NYYes

Practice location

3600 Sea Mountain Hwy Ste B
Little River, SC 29566-8161

Phone 843-399-9696

Mailing address

3600 Sea Mountain Hwy Ste B
Little River, SC 29566-8161

Phone 843-399-9696

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