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NPI Code Detail

MEDICARE: MARA FINE CNP

MEDICARE: MARA FINE CNP
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 PractitionerAPRN.CNP.11902PA
2363L00000XNurse PractitionerAPRN.CNP.11902OH
3363LF0000XFamily Nurse PractitionerAPRN.CNP.11902OH

General Provider Information

NPI Number : 1902131642
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARA FINE CNP
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-8305
Fax Number : 614-685-7108
Provider Business Practice Location Address
First Line : 3525 OLENTANGY RIVER RD STE 4330
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3937
Country : US
Telephone Number : 614-255-6900
Fax Number : 614-255-6901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2009
Last Update Date : 05/18/2026

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