Provider Demographics
NPI:1144347329
Name:DILBONE, MARINA ELECTRA (RN)
Entity type:Individual
Prefix:MS
First Name:MARINA
Middle Name:ELECTRA
Last Name:DILBONE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10710 CAMDEN DR APT 1A
Mailing Address - Street 2:
Mailing Address - City:CAMBY
Mailing Address - State:IN
Mailing Address - Zip Code:46113-8948
Mailing Address - Country:US
Mailing Address - Phone:317-821-1378
Mailing Address - Fax:
Practice Address - Street 1:10710 CAMDEN DR APT 1A
Practice Address - Street 2:
Practice Address - City:CAMBY
Practice Address - State:IN
Practice Address - Zip Code:46113-8948
Practice Address - Country:US
Practice Address - Phone:317-821-1378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY28094597163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine