Allegra Marino, PA
Physician Assistant in Charlotte, NC. Individual provider (NPI-1).
NPI number1013536770
StatusActive
Last updated in NPPESJul 23, 2024
Details
- NPI
- 1013536770
- Entity type
- Individual (NPI-1)
- Name
- Allegra Marino
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 13, 2020
- Certification date
- Jul 23, 2024
- Last updated
- Jul 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-10987 | NC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 363A00000X | Physician Assistant | 085008262 | IL |
Practice location
700 E Morehead St Ste 300Charlotte, NC 28202-2742
Phone 704-334-7800
Mailing address
700 E Morehead St Ste 300Charlotte, NC 28202-2742
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