Individual provider · Type 1 NPI
Marianne Decain Tarraza, NP
Psychiatric/Mental Health Nurse Practitioner · Portland, ME
NPI number
1780646430
Active
Practice location
165 Lancaster St
Portland, ME 04101-2406
Fax (207) 874-1044
Mailing address
PO Box 2328
South Portland, ME 04116-2328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN38186 (ME) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | CNP81164 (ME) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1780646430
Marianne Decain Tarraza, NP's National Provider Identifier is 1780646430, issued on Apr 6, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, ME. The record was last updated on Mar 31, 2019.