| Doctor Name: | JANET MARIE MARINELLI |
| NPI Number: | 1093938128 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 3604 |
| Business Practice Address: | 25 Riviera Blvd Lake Havasu City, AZ - 864035694 |
| Business Phone Number: | 9285055555 |
| Business Fax Number: | 9285055557 |
| Mailing Address: | 25 Riviera Blvd, LAKE HAVASU CITY |
| State: | AZ |
| Postal Code: | 864035694 |
| Phone Number: | 9285055555 |
| Fax Number: | 9285055557 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 02/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 3604 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |