JOHNATAN MARIANO ANP NPI 1588053409

NPI Information

NPI: 1588053409
Provider Name: JOHNATAN MARIANO, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1001 ROBBIE MINCE WAY
DESOTO, TX
ZIP 75115
Phone: (972) 709-7190
Get Directions

Johnatan Mariano, ANP is an adult health nurse practitioner in Desoto, TX with 10 years of experience. Johnatan Mariano, ANP NPI is 1588053409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1001 ROBBIE MINCE WAY
DESOTO, TX
ZIP 75115-012
Phone: (972) 709-7190
Fax: (214) 941-1765

The NPI 1588053409 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/15/2015 and was last updated on 1/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	AP126703	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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