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Individual

TONIA L MARINE

Active
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Individual

TONIA L MARINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
702616
TX
363L00000X
Nurse Practitioner
Primary
AP60482269
WA
363LA2200X
Adult Health Nurse Practitioner
AP60482269
WA
363LF0000X
Family Nurse Practitioner
AP60482269
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168384902
—
TX
01
—
TXB158913
WELLMED MEDICAL GROUP PA
—
Enumeration date
02/20/2006
Last updated
08/19/2014
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