Individual
JOHN D MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1585 S RANGE AVE, DENHAM SPRINGS, LA 70726-5201
(225) 791-0002
Mailing address
DEPT 960139, OKLAHOMA CITY, OK 73196-0139
(877) 485-4474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
05610 APRN
LA
363LF0000X
Family Nurse Practitioner
100696 RN
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1799190
—
LA
01
—
P00913286
RRMCARE THRU DSUC
LA
Enumeration date
12/10/2008
Last updated
11/16/2011
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