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NPI Code Detail

MEDICARE: MS. MARISSA GARUCCIO RN, BSN, MBA

MEDICARE: MS. MARISSA GARUCCIO RN, BSN, MBA
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
1163W00000XRegistered NurseRN597176PA

General Provider Information

NPI Number : 1104162015
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARISSA GARUCCIO RN, BSN, MBA
Provider Business Mailing Address
First Line : 650 SMITHFIELD ST
Second Line : SUITE 2400
City : PITTSBURGH
State : PA
Zip : 15222-3900
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 650 SMITHFIELD ST
Second Line : CENTRE CITY TOWER, SUITE 2400
City : PITTSBURGH
State : PA
Zip : 15222-3900
Country : US
Telephone Number : 412-586-6700
Fax Number : 412-586-6701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2012
Last Update Date : 04/19/2013

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