IndividualActive
Mariamma Idichandy
NPI 1659093698 · Medical-Surgical Registered Nurse · Philadelphia, PA
Provider details
- NPI number
- 1659093698
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 210460994 (PA)
Specialties & taxonomies
Nursing Service Providers
Practice location
5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098
Phone: (215) 456-7890
Approximate (ZIP-level) locationGet directions
Mailing address
7707 Bradford St
Philadelphia, PA 19152-3809
Registry dates
- Enumerated
- 2022-09-15
- Last updated
- 2022-09-15
- Certified
- 2022-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.