Individual
KALEY MICHELLE MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1113 MOSSY LN, MISHAWAKA, IN 46544-9055
(443) 739-9997
Mailing address
9250 COLUMBIA AVE STE 2E, MUNSTER, IN 46321-3530
(219) 595-0043
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71008172A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71008172A
IN
Other
Enumeration date
07/29/2018
Last updated
02/26/2021
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