Provider Demographics
NPI:1558133793
Name:MARINI, NORA GRACE (APN)
Entity Type:Individual
Prefix:MRS
First Name:NORA
Middle Name:GRACE
Last Name:MARINI
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 RUGBY DR
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-8501
Mailing Address - Country:US
Mailing Address - Phone:215-962-6465
Mailing Address - Fax:
Practice Address - Street 1:220 LAKE DR E STE 103
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1165
Practice Address - Country:US
Practice Address - Phone:856-229-9495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP026442363LW0102X
NJ26NJ14941500363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health