Individual provider · Type 1 NPI
Danguole Marullo I
Family Nurse Practitioner · Staten Island, NY
NPI number
1720612674
Active
Practice location
270 Ilyssa Way
Staten Island, NY 10312-1382
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F345662 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1720612674
Danguole Marullo I's National Provider Identifier is 1720612674, issued on Mar 1, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Mar 1, 2020.