Provider Demographics
NPI:1043437726
Name:MARINO, PATRICIA A
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:A
Last Name:MARINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 LOWER FERRY RD
Mailing Address - Street 2:APT 423
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08628
Mailing Address - Country:US
Mailing Address - Phone:609-323-7616
Mailing Address - Fax:
Practice Address - Street 1:865 LOWER FERRY RD
Practice Address - Street 2:APT 423
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628-3517
Practice Address - Country:US
Practice Address - Phone:609-323-7616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO10449500163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse