| Doctor Name: | MRS. AMANDA SUE MARINO |
| NPI Number: | 1053700120 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C.R.N.P. |
| License Number: | SP012936 |
| Business Practice Address: | 700 Coventry Dr Phillipsburg, NJ - 088651972 |
| Business Phone Number: | 9084544666 |
| Business Fax Number: | 9084542332 |
| Mailing Address: | 700 Coventry Dr, PHILLIPSBURG |
| State: | NJ |
| Postal Code: | 088651972 |
| Phone Number: | 9084544666 |
| Fax Number: | 9084542332 |
| NPI Enumeration Date: | 01/13/2015 |
| NPI Last Update Date: | 04/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | SP012936 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |