Provider Demographics
NPI:1316716756
Name:PARTRIDGE, MARINA TAMLIN (APRN)
Entity type:Individual
Prefix:
First Name:MARINA
Middle Name:TAMLIN
Last Name:PARTRIDGE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 273
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:NH
Mailing Address - Zip Code:03574-0273
Mailing Address - Country:US
Mailing Address - Phone:603-259-6555
Mailing Address - Fax:
Practice Address - Street 1:1095 PROFILE RD STE B
Practice Address - Street 2:
Practice Address - City:FRANCONIA
Practice Address - State:NH
Practice Address - Zip Code:03580-4938
Practice Address - Country:US
Practice Address - Phone:603-823-7078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-27
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH082865-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily