Individual provider · Type 1 NPI

Marc Anthony Pupo, RN

Emergency Registered Nurse · Decatur, GA

NPI number 1629007596 Active

Practice location

1670 Clairmont Rd
Decatur, GA 30033-4004

Mailing address

PO Box 2086
Loganville, GA 30052-1918

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN107131 (GA)
Emergency Registered Nurse Primary 163WE0003XRN107131 (GA)
Ambulatory Care Registered Nurse 163WP2201XRN107131 (GA)

Emergency Registered Nurse: Definition to come...

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About NPI 1629007596

Marc Anthony Pupo, RN's National Provider Identifier is 1629007596, issued on Jul 2, 2006. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Decatur, GA. The record was last updated on Sep 21, 2010.