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General NPI Number Information
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NPI Number | 1598429870
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Entity Type | Individual
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Provider Name | MARINA KREITER APRN
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Gender | Female
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Dates
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Enumeration Date | 10/24/2021
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 70 KENYON AVE SUITE 210
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City | WAKEFIELD
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State | RI
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Zip | 02879
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Country | US
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Telephone | 401-788-8780
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Fax | 401-889-5082
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Provider Business Mailing Address
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Address Line | 455 TOLL GATE RD PRC AND CREDENTIALING
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City | PAWTUCKET
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State | RI
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Zip | 02860-5634
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Country | US
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Telephone | 401-273-0641
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Fax | 401-273-2919
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 011717
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN03365
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License Number State | RI
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