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NPI Code Detail

MEDICARE: MRS. MARCIA A PANICO NP

MEDICARE: MRS. MARCIA A PANICO NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner88466MA

General Provider Information

NPI Number : 1396860235
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARCIA A PANICO NP
Provider Business Mailing Address
First Line : 168 DAYTON ST
Second Line :
City : DANVERS
State : MA
Zip : 01923-1019
Country : US
Telephone Number : 978-774-7218
Fax Number :
Provider Business Practice Location Address
First Line : 1230 BRIDGE ST
Second Line :
City : LOWELL
State : MA
Zip : 01850-1261
Country : US
Telephone Number : 978-452-1294
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. MARCIA A PANICO NP” Practice Location

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