Individual provider · Type 1 NPI
Elaine Marie Petrucci, LPN
Licensed Practical Nurse · Severna Park, MD
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
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LP34135 (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.