| NPI | 1104167097 |
|---|---|
| Former Name | MARIAH MARIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 202635) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK 61050) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: OK 02635) | |
| Enumeration Date | 2013-03-03 |
| Last Update Date | 2026-06-04 |