Individual provider · Type 1 NPI

Elaine Marie Petrucci, LPN

Licensed Practical Nurse · Severna Park, MD

NPI number 1043431786 Active

Practice location

6 Riggs Ave
Severna Park, MD 21146-3814

Fax (410) 222-6522

Mailing address

1624 Angus Ct
Crofton, MD 21114-2002

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP34135 (MD)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

About NPI 1043431786

Elaine Marie Petrucci, LPN's National Provider Identifier is 1043431786, issued on May 1, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Severna Park, MD. The record was last updated on Jul 8, 2007.