Provider Demographics
NPI:1295103885
Name:MARRO, DANA SUZANNE (BSN,RN,IBCLC)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:SUZANNE
Last Name:MARRO
Suffix:
Gender:F
Credentials:BSN,RN,IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 ERYN RD
Mailing Address - Street 2:
Mailing Address - City:WENONAH
Mailing Address - State:NJ
Mailing Address - Zip Code:08090-1609
Mailing Address - Country:US
Mailing Address - Phone:856-625-6099
Mailing Address - Fax:
Practice Address - Street 1:415 ERYN RD
Practice Address - Street 2:
Practice Address - City:WENONAH
Practice Address - State:NJ
Practice Address - Zip Code:08090-1609
Practice Address - Country:US
Practice Address - Phone:856-625-6099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-13
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJL-29896; 26NO1161800163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant