Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NP368 | ME |
NPI | 1083998314 |
---|---|
Provider Name | Dr. Corrie Anne Marinaro |
First Address | Waterville, ME 04901-5813 |
Second Address | Waterville, ME 04901-5813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2011 |
Last Update Date | 16/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1669082939 | ANTHEM BLUE CROSS BLUE SHIELD DR. ANNA FROMAN (01) | ME |