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NPI Code Detail

MEDICARE: MS. BRIANNA MARIN

MEDICARE:  MS. BRIANNA  MARIN
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
1363A00000XPhysician Assistant50.007256RXOH

General Provider Information

NPI Number : 1255917589
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRIANNA MARIN
Provider Business Mailing Address
First Line : 716 TOD AVE SW
Second Line :
City : WARREN
State : OH
Zip : 44485-3608
Country : US
Telephone Number : 330-373-0222
Fax Number :
Provider Business Practice Location Address
First Line : 716 TOD AVE SW
Second Line :
City : WARREN
State : OH
Zip : 44485-3608
Country : US
Telephone Number : 330-373-0222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2021
Last Update Date : 10/26/2021

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Directions to “ MS. BRIANNA MARIN ” Practice Location

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