Provider Demographics
NPI:1598378671
Name:MARRERO, MARLEN (APRN)
Entity Type:Individual
Prefix:
First Name:MARLEN
Middle Name:
Last Name:MARRERO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7820 N ARMENIA AVE STE C
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-3852
Mailing Address - Country:US
Mailing Address - Phone:813-935-6334
Mailing Address - Fax:813-930-2835
Practice Address - Street 1:7820 N ARMENIA AVE STE C
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-3852
Practice Address - Country:US
Practice Address - Phone:813-935-6334
Practice Address - Fax:813-930-2835
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9253103163W00000X
FLAPRN11021363363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse