Provider Demographics
NPI:1851020424
Name:KWITNY, MARCELLA HUDSON (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARCELLA
Middle Name:HUDSON
Last Name:KWITNY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 E CALIFORNIA BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-4099
Mailing Address - Country:US
Mailing Address - Phone:626-396-6391
Mailing Address - Fax:
Practice Address - Street 1:1030 E CALIFORNIA BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-4099
Practice Address - Country:US
Practice Address - Phone:626-396-6391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA377176163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA377176OtherBOARD OF REGISTERED NURSES