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NPI Code Detail

MEDICARE: MS. MARLAINE F REGISTE ARNP

MEDICARE: MS. MARLAINE F REGISTE ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner2220382FL
2363LF0000XFamily Nurse PractitionerARNP2220382FL
3363LP0808XPsychiatric/Mental Health Nurse Practitioner0024174737VA
4363LP0808XPsychiatric/Mental Health Nurse PractitionerRN1045029DC

General Provider Information

NPI Number : 1669768578
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARLAINE F REGISTE ARNP
Provider Business Mailing Address
First Line : 1200 G ST NW STE 800
Second Line :
City : WASHINGTON
State : DC
Zip : 20005-6705
Country : US
Telephone Number : 202-972-3639
Fax Number : 773-373-1955
Provider Business Practice Location Address
First Line : 1200 G ST NW
Second Line : STE 800
City : WASHINGTON
State : DC
Zip : 20005-6705
Country : US
Telephone Number : 850-656-2006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2011
Last Update Date : 10/10/2020

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