Provider Demographics
NPI:1043202815
Name:ORDINER, MARINA (CRNP)
Entity Type:Individual
Prefix:
First Name:MARINA
Middle Name:
Last Name:ORDINER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 BARRIE RD
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1816
Mailing Address - Country:US
Mailing Address - Phone:610-664-2602
Mailing Address - Fax:
Practice Address - Street 1:205 BARRIE RD
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-1816
Practice Address - Country:US
Practice Address - Phone:610-664-2602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007293363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1009671730001Medicaid
PAP66505Medicare UPIN
PA1009671730001Medicaid