Provider Demographics
NPI:1568945343
Name:MALAFARINA, MARIAN (MS, ARNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:MARIAN
Middle Name:
Last Name:MALAFARINA
Suffix:
Gender:F
Credentials:MS, ARNP, FNP-C
Other - Prefix:
Other - First Name:MARIAN
Other - Middle Name:
Other - Last Name:IGNATYEV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4737 ANDRIS ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34288-7307
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4737 ANDRIS ST
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34288-7307
Practice Address - Country:US
Practice Address - Phone:941-615-7727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-08
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9194783363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily