Provider Demographics
NPI:1871826370
Name:MARRERO, MARIE UNICE (LPN)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:UNICE
Last Name:MARRERO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9325 KINGS HWY
Mailing Address - Street 2:APT. 3D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-1955
Mailing Address - Country:US
Mailing Address - Phone:917-892-0439
Mailing Address - Fax:
Practice Address - Street 1:9325 KINGS HWY
Practice Address - Street 2:APT. 3D
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-1955
Practice Address - Country:US
Practice Address - Phone:917-892-0439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY272475-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse