Individual
DEBRA MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
46 CUTLER RD, ANDOVER, MA 01810-3427
(617) 943-4106
Mailing address
17 SAINT JAMES AVE, SOMERVILLE, MA 02144-3124
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN276845
MA
Other
Enumeration date
07/22/2020
Last updated
09/15/2022
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