Individual provider · Type 1 NPI

Nicholas Jack Marino Jr., CPNP-AC

Critical Care Pediatric Nurse Practitioner · Tallmadge, OH

NPI number 1366107682 Active

Practice location

109 Maryann Rd
Tallmadge, OH 44278-1803

Other practice locations

  • 700 Childrens Dr, Columbus, OH 43205-2664 · (614) 722-2000

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XAPRN.CNP.0030147 (OH)
Critical Care Pediatric Nurse Practitioner Primary 363LP0222X0030147 (OH)
Pediatric Nurse Practitioner 363LP0200XAPRN.CNP.0030147 (OH)

Critical Care Pediatric Nurse Practitioner: Definition to come...

About NPI 1366107682

Nicholas Jack Marino Jr., CPNP-AC's National Provider Identifier is 1366107682, issued on Nov 2, 2021. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Tallmadge, OH. The record was last updated on Jan 12, 2026.