Provider Demographics
NPI:1679378327
Name:MARNA, MARISA DANIELLE (APN)
Entity type:Individual
Prefix:MRS
First Name:MARISA
Middle Name:DANIELLE
Last Name:MARNA
Suffix:
Gender:
Credentials:APN
Other - Prefix:MISS
Other - First Name:MARISA
Other - Middle Name:DANIELLE
Other - Last Name:MASTERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:20 STATION PL APT 104
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-1416
Mailing Address - Country:US
Mailing Address - Phone:908-268-2507
Mailing Address - Fax:
Practice Address - Street 1:1 PLAINSBORO RD
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-1913
Practice Address - Country:US
Practice Address - Phone:609-853-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15280100363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care