Provider Demographics
NPI:1669768578
Name:REGISTE, MARLAINE F (ARNP)
Entity type:Individual
Prefix:MS
First Name:MARLAINE
Middle Name:F
Last Name:REGISTE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 G ST NW STE 800
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-6705
Mailing Address - Country:US
Mailing Address - Phone:202-972-3639
Mailing Address - Fax:773-373-1955
Practice Address - Street 1:1200 G ST NW
Practice Address - Street 2:STE 800
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-6705
Practice Address - Country:US
Practice Address - Phone:850-656-2006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2020-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2220382363LF0000X
FLARNP2220382363LF0000X
VA0024174737363LP0808X
DCRN1045029363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily