Mariano, Donna L

Mariano, Donna L is an individual health care provider with primary practice located at 67 Masonic Ave Suite 3100, Wallingford CT 06492-3095. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Mariano, Donna L can be contacted via phone (203) 284-3144.

Contact Information

Primary practice address
67 Masonic Ave Suite 3100 Wallingford CT 06492-3095
Phone: (203) 284-3144
Fax: (203) 284-3150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 002774 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 002774 Connecticut

Profile Details

NPI number 1194749283
LBN Legal business name Mariano, Donna L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 31st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194749283 NPPES
Connecticut MEDICAID 004231023

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