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NPI Code Detail

MEDICARE: TONI L MAROO NP

MEDICARE: TONI L MAROO 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
1363LG0600XGerontology Nurse PractitionerAPRN.CNP.0028938OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912197047
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONI L MAROO NP
Provider Business Mailing Address
First Line : 3378 MANN RD
Second Line :
City : BLACKLICK
State : OH
Zip : 43004-8719
Country : US
Telephone Number : 614-618-3084
Fax Number :
Provider Business Practice Location Address
First Line : 5700 KARL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-3602
Country : US
Telephone Number : 216-403-9090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2007
Last Update Date : 04/18/2023

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