Provider Demographics
NPI:1730062910
Name:O'HARE, MARINA LUCILLE (RN)
Entity type:Individual
Prefix:
First Name:MARINA
Middle Name:LUCILLE
Last Name:O'HARE
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 1:55 MCKINLEY AVE APT D1-4
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-1661
Mailing Address - Country:US
Mailing Address - Phone:973-222-9521
Mailing Address - Fax:
Practice Address - Street 1:55 MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10606-1646
Practice Address - Country:US
Practice Address - Phone:973-222-9521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY947400163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics