Joel Marcel Mariano, FNP
Nurse Practitioner, Family in Elk Grove, CA. Individual provider (NPI-1).
NPI number1699299727
StatusActive
Last updated in NPPESSep 19, 2022
Details
- NPI
- 1699299727
- Entity type
- Individual (NPI-1)
- Name
- Joel Marcel Mariano
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2017
- Certification date
- Sep 19, 2022
- Last updated
- Sep 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95006649 | CA | Yes |
| 363L00000X | Nurse Practitioner | 95006649 | CA |
Other names
- Joel Marcel Mariano (Other Name)
Practice location
8220 Wymark Dr Ste 200Elk Grove, CA 95757-6298
Phone 916-667-0600 · Fax 916-683-0232
Mailing address
1800 Harrison St, 7th FlOakland, CA 94612-3429
Phone 510-625-2856 · Fax 877-738-4262
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