MARIANNE DECAIN TARRAZA NP NPI 1780646430

NPI Information

NPI: 1780646430
Provider Name: MARIANNE DECAIN TARRAZA, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
165 LANCASTER ST
PORTLAND, ME
ZIP 04101
Phone: (207) 874-1030
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Marianne Decain Tarraza, NP is a psychiatric/mental health nurse practitioner in Portland, ME with 22 years of experience. Marianne Decain Tarraza, NP NPI is 1780646430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

165 LANCASTER ST
PORTLAND, ME
ZIP 04101-406
Phone: (207) 874-1030
Fax: (207) 874-1044

The NPI 1780646430 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 4/6/2006 and was last updated on 3/31/2019.

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
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN38186	MAINE	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	CNP81164	MAINE	Yes

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: 11/14/2023

NPI Synchronization or Removal

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