Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 2012-01877 | NC |
N | 2080P0214X | Pediatric Pulmonologist | 34696 | CO |
NPI | 1477637189 |
---|---|
Provider Name | Dr. Marzena E Krawiec |
First Address | Wilmington, NC 28401-7407 |
Second Address | Wilmington, NC 28401-7407 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 09/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01346964 | (05) | CO |
174AN | BCBSNC (01) | NC |
5921612 | (05) | NC |
804826 | (02) | CO |
G38016 | (02) | CO |