MEDICARE: BROOKE RAE MARINO DNP, PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95026626	CA

General Provider Information

NPI Number	:	1588447452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE RAE MARINO DNP, PMHNP

Provider Business Mailing Address
First Line	:	PO BOX 425162
Second Line	:
City	:	CAMBRIDGE
State	:	MA
Zip	:	02142-0004
Country	:	US
Telephone Number	:	619-363-1115
Fax Number	:

Provider Business Practice Location Address
First Line	:	2645 FINANCIAL CT STE O
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-3554
Country	:	US
Telephone Number	:	619-363-1115
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2023
Last Update Date	:	06/22/2026

Similar Medicare Providers

1326855941 — BROOKE MARINO, DNP, PMHNP-BC, A PROFESSIONAL NURSING CORPORATION
Practice Location Address:

2645 FINANCIAL CT STE O
SAN DIEGO, CA
92117-3554

Practice Phone: 425-367-4949
Practice Fax:

1295255826 — MICHELLE C DEFLORIMONTE FNP
Practice Location Address:

402 W BROADWAY STE 400
SAN DIEGO, CA
92101-3554

Practice Phone: 407-920-0785
Practice Fax: 352-716-7611

1730013913 — KENDALL L FOX
Practice Location Address:

3554 FIR ST
SAN DIEGO, CA
92104-5708

Practice Phone: 508-742-7194
Practice Fax:

1427442649 — ROSA MARIA OROZCO
Practice Location Address:

402 W BROADWAY STE 400
SAN DIEGO, CA
92101-3554

Practice Phone: 866-478-3978
Practice Fax:

1558413724 — LIFECARE SOLUTIONS INC
Practice Location Address:

3554 RUFFIN RD , SUITE 100
SAN DIEGO, CA
92123

Practice Phone: 858-637-6300
Practice Fax: 858-576-5364

1235405655 — NABIL BAIG D.O.
Practice Location Address:

402 W BROADWAY STE 400
SAN DIEGO, CA
92101-3554

Practice Phone: 559-898-2244
Practice Fax:

Directions to “ BROOKE RAE MARINO DNP, PMHNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.