Provider Demographics
NPI:1871610972
Name:GRIEBEL, MARCIA (RN)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:
Last Name:GRIEBEL
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 1:54 VICTORY WAY
Mailing Address - Street 2:
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1345
Mailing Address - Country:US
Mailing Address - Phone:610-948-1418
Mailing Address - Fax:
Practice Address - Street 1:54 VICTORY WAY
Practice Address - Street 2:
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-1345
Practice Address - Country:US
Practice Address - Phone:610-948-1418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN258487L163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology