MR. STEVEN ANGELOS MARINOS NURSE PRACTITIONER
NPI 1073057329
Nurse Practitioner - Gerontology in Clayton, NC
Active since December 06, 2016
About Mr. Steven Angelos Marinos Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. STEVEN ANGELOS MARINOS NURSE PRACTITIONER (NPI 1073057329) is an individual gerontology provider in Clayton, North Carolina, licensed in North Carolina (131664) and active in the NPI registry since December 2016.
NPPES Registry Identity
NPI1073057329
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameMR. STEVEN ANGELOS MARINOSCredential: NURSE PRACTITIONER
Location Address107 REGULATOR DRClayton, NC 27520-8719
Mailing Address107 Regulator DrClayton, NC 27520-8719 · (919) 437-7077
Phone(919) 437-7077
Sole ProprietorNo
Enumeration DateDecember 6, 2016
✔ NPI 1073057329 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NC · 131664
107 REGULATOR DR, Clayton, NC 27520
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073057329, enumerated as an "individual" on December 06, 2016.
The provider is located at 107 REGULATOR DR CLAYTON, NC 27520 and the phone number is (919) 437-7077.
Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.