Individual
TRACY JILL MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN01681
RI
363LF0000X
Family Nurse Practitioner
Primary
RN262938
MA
Other
Enumeration date
03/10/2017
Last updated
05/30/2019
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