Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Marmorine

Individual provider Family Nurse Practitioner · NPI 1356370993

Kathleen Marmorine is a Nurse Practitioner in Red Lake, Minnesota. Qualified in 2001, 25 years ago. Practices with Phs Indian Hospital, a 21-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
25
Licensed in
MN
In the registry since
2006

Practice location Address checks out

Highway 1 Box 497
Red Lake, MN 56671-0497
Phone: (218) 679-3912
Fax: (218) 679-0181
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R 138537-1 (MN)

Record details

NPI number1356370993
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESNovember 8, 2007
Mailing addressHighway 1, Box 497, Red Lake, MN 56671-0497

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Phs Indian Hospital — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Red Lake