Provider Demographics
NPI:1306006168
Name:MARAFINO, ROBERTA FRANCIS (RN)
Entity type:Individual
Prefix:MRS
First Name:ROBERTA
Middle Name:FRANCIS
Last Name:MARAFINO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1498 COUNTY ROUTE 37
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:13167-3254
Mailing Address - Country:US
Mailing Address - Phone:315-668-9793
Mailing Address - Fax:315-464-7237
Practice Address - Street 1:1498 COUNTY ROUTE 37
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:NY
Practice Address - Zip Code:13167-3254
Practice Address - Country:US
Practice Address - Phone:315-668-9793
Practice Address - Fax:315-464-7237
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-14
Last Update Date:2008-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY372333-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse