MEDICARE: MARIA SCACCIANOCE APRN, FNP-C

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
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.024422	OH

General Provider Information

NPI Number	:	1346709797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA SCACCIANOCE APRN, FNP-C

Provider Business Mailing Address
First Line	:	6096 WAREHAM DR
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-4502
Country	:	US
Telephone Number	:	216-789-6710
Fax Number	:

Provider Business Practice Location Address
First Line	:	6096 WAREHAM DR
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-4502
Country	:	US
Telephone Number	:	216-789-6710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2019
Last Update Date	:	04/23/2021

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