Most Relevant Information
Provider Data
| NPI Number: | 1003803081 |
| Provider Name: | MARYELLEN KRAFT CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | RN267157L |
Most Important Dates
| Enumeration Date: | 10/04/2005 |
| Last Updated: | 04/23/2009 |
Provider Practice Location
1201 LANGHORNE NEWTOWN RD
LANGHORNE
PA
190471201
Practice Location Phone/Fax
| Phone: | 2157102196 |
| Fax: | 2157102408 |
Provider Mailing Location
1201 LANGHORNE NEWTOWN RD
LANGHORNE
PA
190471201
Provider Mailing Phone/Fax
| Phone: | 2157102196 |
| Fax: | 2157102408 |