Individual provider · Type 1 NPI
Marissa Autumn Marino, CRNP
Family Nurse Practitioner · Wilkes Barre, PA
NPI number
1699420232
Active
Practice location
1102 Highway 315 Blvd
Wilkes Barre, PA 18702-6943
Fax (570) 550-9256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN638114 (PA) |
| Family Nurse Practitioner Primary | 363LF0000X | SP025286 (PA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1699420232
Marissa Autumn Marino, CRNP's National Provider Identifier is 1699420232, issued on Feb 12, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Feb 12, 2022.