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NPI Code Detail

MEDICARE: MARILYN DELLAGLORIA ARNP

MEDICARE: MARILYN DELLAGLORIA 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 PractitionerARNP1460542FL
2364S00000XClinical Nurse SpecialistARNP1460542FL
3364SP0807XChild & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistARNP1460542FL
4364SP0808XPsychiatric/Mental Health Clinical Nurse SpecialistARNP1460542FL
5364SP0809XAdult Psychiatric/Mental Health Clinical Nurse SpecialistARNP1460542FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01078749OTHERFLMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659369171
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN DELLAGLORIA ARNP
Provider Business Mailing Address
First Line : 1065 NE 125TH ST STE 409
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-5834
Country : US
Telephone Number : 888-852-6672
Fax Number : 305-891-4228
Provider Business Practice Location Address
First Line : 11440 N KENDALL DRIVE
Second Line : SUITE 208
City : MIAMI
State : FL
Zip : 33176-1024
Country : US
Telephone Number : 888-852-6672
Fax Number : 305-891-4228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 08/19/2014

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Directions to “ MARILYN DELLAGLORIA ARNP” Practice Location

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