Individual
MR. AUSTIN TYLER MARRINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
200 BRICKSTONE SQ, ANDOVER, MA 01810-1437
(978) 474-7500
Mailing address
PO BOX 156, LINCOLNVILLE CENTER, ME 04850-0156
(207) 975-1211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R056582
ME
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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