Provider Demographics
NPI:1235480211
Name:MARVEL, JOANN C AUBREY (FNP)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:C AUBREY
Last Name:MARVEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16644 SHOAL RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-7006
Mailing Address - Country:US
Mailing Address - Phone:302-271-4669
Mailing Address - Fax:302-703-6634
Practice Address - Street 1:16644 SHOAL RD
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-7006
Practice Address - Country:US
Practice Address - Phone:302-271-4669
Practice Address - Fax:302-703-6634
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEAPN0001692363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner