Provider Demographics
NPI:1548610215
Name:ZIBI, MARINETTE N (PMHNP, DNP)
Entity Type:Individual
Prefix:DR
First Name:MARINETTE
Middle Name:N
Last Name:ZIBI
Suffix:
Gender:F
Credentials:PMHNP, DNP
Other - Prefix:
Other - First Name:MARINETTE
Other - Middle Name:N
Other - Last Name:GARRISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4531 32ND ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT RAINIER
Mailing Address - State:MD
Mailing Address - Zip Code:20712-1613
Mailing Address - Country:US
Mailing Address - Phone:240-253-3912
Mailing Address - Fax:
Practice Address - Street 1:4531 32ND ST
Practice Address - Street 2:
Practice Address - City:MOUNT RAINIER
Practice Address - State:MD
Practice Address - Zip Code:20712-1613
Practice Address - Country:US
Practice Address - Phone:240-253-3912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-14
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN 1031756163W00000X
DCNP1031756363LP0808X
MDR207867363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD163W00000XMedicaid
363LP0808XOtherOTHER