Individual
PAUL ANTHONY MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
138 ROCKDALE RD, FOLLANSBEE, WV 26037-1658
(304) 527-1747
Mailing address
169 LOCUST LN, FOLLANSBEE, WV 26037-1623
(304) 794-6586
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN.CNP.16843
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN75952-FNP-BC
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120584
—
OH
Enumeration date
01/13/2015
Last updated
03/03/2021
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