Provider Demographics
NPI:1295141471
Name:MARINO, KARA LYNN (NP)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:LYNN
Last Name:MARINO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:31 RIDGEROCK DR
Mailing Address - Street 2:
Mailing Address - City:SIGNAL MOUNTAIN
Mailing Address - State:TN
Mailing Address - Zip Code:37377-2137
Mailing Address - Country:US
Mailing Address - Phone:309-323-4569
Mailing Address - Fax:
Practice Address - Street 1:200 W MARTIN LUTHER KING BLVD STE 1000
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-2571
Practice Address - Country:US
Practice Address - Phone:423-269-2255
Practice Address - Fax:888-698-8617
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2024-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN33957364S00000X
IL209-010172364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist