Search › Pennsylvania › 163W00000X

Marietta Kougblenou, RN BSN

NPI 1396425294 · on the registry since 2023 · sole proprietor

Practice

Address
123 S 69th St
Upper Darby, PA 19082
Phone
(800) 748-3243
Organisation at this address
Rite Aid Of Pennsylvania Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania