Individual
MRS. MARINA DIDYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
9238 MADISON BLVD STE 100, MADISON, AL 35758-9112
(440) 520-5919
Mailing address
106 DARROW CREEK DR, OWENS CROSS ROADS, AL 35763-5001
(360) 521-4277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-148936
AL
363L00000X
Nurse Practitioner
Primary
F03211123
AL
363LF0000X
Family Nurse Practitioner
1-148936
AL
Other
Enumeration date
06/21/2021
Last updated
08/14/2021
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