NPI 1932454907 · live from the CMS NPI Registry
Marianne Decain Tarraza NP, LLC
Registered Nurse, Psych/Mental Health, Adult in Cape Elizabeth, ME. National Provider Identifier 1932454907, active.
NPI record
| NPI | 1932454907 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 1000 Shore Rd, Building #326, Cape Elizabeth, ME 04107 |
| Practice phone | 207-312-1063 |
| Mailing address | Po Box 2328, South Portland, ME 04116 |
| Enumerated | July 17, 2012 |
| Last updated | July 17, 2012 |
| Authorized official | Jennifer Fournier, Credentialing Billing Rep |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | CNP81164 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.