Individual
LAURE MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
301-6 GREAT TEAYS BLVD, SCOTT DEPOT, WV 25560
(304) 757-6999
(304) 757-3252
Mailing address
301-6 GREAT TEAYS BLVD, SCOTT DEPOT, WV 25560
(304) 757-6999
(304) 757-3252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
51372
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001719728
MS BCBS
WV
01
—
7538749
AETNA
WV
05
—
9600195001
—
WV
Enumeration date
02/08/2006
Last updated
11/09/2012
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