Provider Demographics
NPI:1801336516
Name:FERRARO, MARLEY L (CRNA)
Entity type:Individual
Prefix:
First Name:MARLEY
Middle Name:L
Last Name:FERRARO
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:MARLEY
Other - Middle Name:L
Other - Last Name:SMIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:10770 COLUMBIA PIKE STE 400
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4462
Mailing Address - Country:US
Mailing Address - Phone:215-589-9012
Mailing Address - Fax:
Practice Address - Street 1:885 KEMPSVILLE RD STE 114
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3800
Practice Address - Country:US
Practice Address - Phone:757-466-0165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-28
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR200996367500000X
NJ26NJ00710000367500000X
CA95001129367500000X
VA0024180061367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered