Provider Demographics
NPI:1043808488
Name:MARINELLI, LAURELL ASHLEY (RN)
Entity type:Individual
Prefix:MRS
First Name:LAURELL
Middle Name:ASHLEY
Last Name:MARINELLI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 MERIDEN AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-3628
Mailing Address - Country:US
Mailing Address - Phone:860-620-2655
Mailing Address - Fax:
Practice Address - Street 1:119 MERIDEN AVE
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-3628
Practice Address - Country:US
Practice Address - Phone:860-620-2655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT163WC1500X163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health