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NPI Code Detail

MEDICARE: MARY CECILIA MARIOTTI

MEDICARE: MARY CECILIA MARIOTTI
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
1163WP0809XAdult Psychiatric/Mental Health Registered Nurse326914OH

General Provider Information

NPI Number : 1992434443
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY CECILIA MARIOTTI
Provider Business Mailing Address
First Line : 1460 TOD AVE NW
Second Line :
City : WARREN
State : OH
Zip : 44485-2407
Country : US
Telephone Number : 330-392-0311
Fax Number :
Provider Business Practice Location Address
First Line : 1460 TOD AVE NW
Second Line :
City : WARREN
State : OH
Zip : 44485-2407
Country : US
Telephone Number : 330-392-0311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2022
Last Update Date : 06/09/2022

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Directions to “ MARY CECILIA MARIOTTI ” Practice Location

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