Provider Demographics
NPI:1225502511
Name:MARINO, JANELLE WOLEK (NP-C)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:WOLEK
Last Name:MARINO
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-2805
Mailing Address - Country:US
Mailing Address - Phone:719-539-5338
Mailing Address - Fax:719-539-5339
Practice Address - Street 1:515 E 1ST STREET
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-2106
Practice Address - Country:US
Practice Address - Phone:719-539-5338
Practice Address - Fax:195-395-3397
Is Sole Proprietor?:No
Enumeration Date:2019-01-19
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH088819-23363LF0000X
OH38254363LF0000X
DEL5-000007363LF0000X
FL11000187363LF0000X
CT14195363LF0000X
NC5016715363LF0000X
AZ234895363LF0000X
IAA182727363LF0000X
VT101.0137506363LF0000X
PASP021803363LF0000X
UT14205239-4405363LF0000X
ID9171556363LF0000X
MDAC003374363LF0000X
AR232157363LF0000X
CO997639363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily