JOHNATAN MARIANO ANP NPI 1588053409

NPI Information

  • NPI: 1588053409
  • Provider Name: JOHNATAN MARIANO, ANP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1001 ROBBIE MINCE WAY
    DESOTO, TX
    ZIP 75115
  • Phone: (972) 709-7190

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NPI Details

Johnatan Mariano, ANP is an adult health nurse practitioner in Desoto, TX with 12 years of experience. Johnatan Mariano, ANP NPI is 1588053409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1001 ROBBIE MINCE WAY
DESOTO, TX
ZIP 75115-012
Phone: (972) 709-7190
Fax: (214) 941-1765

The NPI 1588053409 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/15/2015 and was last updated on 1/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthAP126703TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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