Provider Demographics
NPI:1831857184
Name:MARRAIN, MERLIN NAOMI (HEALTH EDUCATOR, CLC)
Entity type:Individual
Prefix:MRS
First Name:MERLIN
Middle Name:NAOMI
Last Name:MARRAIN
Suffix:
Gender:F
Credentials:HEALTH EDUCATOR, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 W GENESEE STREET RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-9458
Mailing Address - Country:US
Mailing Address - Phone:315-401-1439
Mailing Address - Fax:
Practice Address - Street 1:2119 W GENESEE STREET RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-9458
Practice Address - Country:US
Practice Address - Phone:315-252-4212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-03
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator