Provider Demographics
NPI:1063526515
Name:MARINO, MARGARET GILHOOLEY (MSN,RN,CS)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:GILHOOLEY
Last Name:MARINO
Suffix:
Gender:F
Credentials:MSN,RN,CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:4000 VINE ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17057-3565
Mailing Address - Country:US
Mailing Address - Phone:717-533-7496
Mailing Address - Fax:717-948-4170
Practice Address - Street 1:4000 VINE ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:PA
Practice Address - Zip Code:17057-3565
Practice Address - Country:US
Practice Address - Phone:717-533-7496
Practice Address - Fax:717-948-4170
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN277248L364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health