Doctor Name: | MRS. SHERYL MARINONE |
NPI Number: | 1093780256 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 001729 |
Business Practice Address: | 3a Pasco Dr East Windsor, CT - 060881700 |
Business Phone Number: | 8606234100 |
Business Fax Number: | 8606234101 |
Mailing Address: | 29 Marion St, WINDSOR LOCKS |
State: | CT |
Postal Code: | 060962703 |
Phone Number: | 8606236649 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 001729 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |