Provider Demographics
NPI:1285187260
Name:DILOYAN, MARIANNA (CRNP)
Entity Type:Individual
Prefix:
First Name:MARIANNA
Middle Name:
Last Name:DILOYAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:9501 ROOSEVELT BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-1025
Mailing Address - Country:US
Mailing Address - Phone:215-671-8900
Mailing Address - Fax:215-671-1272
Practice Address - Street 1:9501 ROOSEVELT BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1025
Practice Address - Country:US
Practice Address - Phone:215-671-8900
Practice Address - Fax:215-671-1272
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-26
Last Update Date:2017-04-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PARN618691163WN0800X
PASP016276363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163WN0800XNursing Service ProvidersRegistered NurseNeuroscience