Individual provider · Type 1 NPI
Marianna Grace Bettina Pucillo, NP
Nurse Practitioner · Truckee, CA
Practice location
10121 Pine Ave
Truckee, CA 96161-4835
Mailing address
PO Box 77
Tahoe City, CA 96145-0077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95013728 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1124658067
Marianna Grace Bettina Pucillo, NP's National Provider Identifier is 1124658067, issued on Jan 20, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Truckee, CA. The record was last updated on Jan 20, 2020.