Individual
MRS. MARINA DOCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
225 HAUENSTEIN RD, HUNTINGTON, IN 46750-8803
(260) 204-0505
Mailing address
225 HAUENSTEIN RD, HUNTINGTON, IN 46750-8803
(260) 204-0505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28227275A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28227275A
RN LICENSE
IN
Enumeration date
05/24/2019
Last updated
06/11/2019
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