Provider Demographics
NPI:1811077696
Name:MARLIN, KAREN ANNE (PAC)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANNE
Last Name:MARLIN
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10 SEA GRASS FARM RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-7841
Mailing Address - Country:US
Mailing Address - Phone:207-798-5028
Mailing Address - Fax:
Practice Address - Street 1:DUDLEY COE HEALTH CENTER BOWDOIN COLLEGE
Practice Address - Street 2:3600 COLLEGE STATION
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011
Practice Address - Country:US
Practice Address - Phone:207-725-3770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MEPA079363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant