Individual
LAURA E MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
4 WATROUS AVE, BRANFORD, CT 06405-3331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024174029
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
8833
CT
Other
Enumeration date
09/28/2016
Last updated
06/02/2020
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