Provider Demographics
NPI:1639892870
Name:MARIN, ALLISON MAE (BSN, RN)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:MAE
Last Name:MARIN
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MAE
Other - Last Name:MESSERSCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:10401 N 63RD AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85302-1100
Mailing Address - Country:US
Mailing Address - Phone:623-412-4778
Mailing Address - Fax:
Practice Address - Street 1:10401 N 63RD AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-1100
Practice Address - Country:US
Practice Address - Phone:623-329-6081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ259877163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool