Marcuccio, Katie M.

Marcuccio, Katie M. is an individual health care provider with primary practice located at 326 Washington St Dept Of Anesthesia, Norwich CT 06360-2740. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Marcuccio, Katie M. can be contacted via phone (860) 889-8331.

Contact Information

Primary practice address
326 Washington St Dept Of Anesthesia Norwich CT 06360-2740
Phone: (860) 889-8331
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN263394 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 04997 Connecticut

Profile Details

NPI number 1790030567
LBN Legal business name Marcuccio, Katie M.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2012
Last updated Dec 16th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790030567 NPPES
Massachusetts MEDICAID 110130192A

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