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NPI Code Detail

MEDICARE: MS. MARI ALDEGHI ARNP

MEDICARE: MS. MARI ALDEGHI ARNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerARNP2951402FL

General Provider Information

NPI Number : 1114960796
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARI ALDEGHI ARNP
Provider Business Mailing Address
First Line : 400 E SHERIDAN RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-3122
Country : US
Telephone Number : 321-722-5200
Fax Number :
Provider Business Practice Location Address
First Line : 400 E SHERIDAN RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-3184
Country : US
Telephone Number : 321-722-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 08/04/2022

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