Individual provider · Type 1 NPI
Laura E. Marino, AGACNP
Gerontology Nurse Practitioner · New Haven, CT
NPI number
1487103743
Active
Practice location
20 York St
New Haven, CT 06510-3220
Mailing address
4 Watrous Ave
Branford, CT 06405-3331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 0024174029 (VA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 8833 (CT) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1487103743
Laura E. Marino, AGACNP's National Provider Identifier is 1487103743, issued on Sep 28, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in New Haven, CT. The record was last updated on Jun 2, 2020.