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

Marissa Autumn Marino, CRNP

Individual provider Registered Nurse · NPI 1699420232

Marissa Autumn Marino, CRNP is a Registered Nurse in Wilkes Barre, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2022.

Licensed in
PA
In the registry since
2022
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1102 Highway 315 Blvd
Wilkes Barre, PA 18702-6943
Phone: (570) 235-1470
Fax: (570) 550-9256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP025286 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN638114 (PA)

Record details

NPI number1699420232
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedFebruary 12, 2022
Last updated in NPPESFebruary 12, 2022
Certification dateFebruary 12, 2022

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