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MARISSA AUTUMN MARINO CRNP
NPI 1699420232
Nurse Practitioner - Family in Wilkes Barre, PA

Active since February 12, 2022
1102 HIGHWAY 315 BLVD, WILKES BARRE, PA 18702(570) 235-1470(570) 550-9256 Get Directions Write a Review

NPPES record last updated: February 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marissa Autumn Marino Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA AUTUMN MARINO CRNP (NPI 1699420232) is an individual family provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (SP025286) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1699420232
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARISSA AUTUMN MARINOCredential: CRNP
Location Address1102 HIGHWAY 315 BLVDWilkes Barre, PA 18702-6943
Mailing Address1102 Highway 315 BlvdWilkes Barre, PA 18702-6943 · (570) 235-1470 · Fax (570) 550-9256
Phone(570) 235-1470
Fax(570) 550-9256
Sole ProprietorNo
Enumeration DateFebruary 12, 2022
NPPES CertifiedFebruary 12, 2022
✔ NPI 1699420232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP025286
Also ListedRegistered NurseTaxonomy 163W00000X · License RN638114 (PA)
1102 HIGHWAY 315 BLVD, Wilkes Barre, PA 18702
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHELLE K SUDO DO
Pediatrics
1102 HIGHWAY 315 BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 235-1470
MY KIDS PEDIATRIC PARTNERS PC
Pediatrics
1102 HIGHWAY 315 BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 235-1470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Marino's NPI number?

The NPI number for Marissa Marino is 1699420232. It was assigned to this individual provider in the NPPES registry on February 12, 2022.

Where is Marissa Marino located?

Marissa Marino practices at 1102 Highway 315 Blvd, Wilkes Barre, PA 18702. The listed phone number is (570) 235-1470.

What is Marissa Marino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Marissa Marino was last updated on February 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.