Marcucio, Elizabeth

Marcucio, Elizabeth is an individual health care provider with primary practice located at 755 Campbell Ave Suite 2, West Haven CT 06516-3715. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Marcucio, Elizabeth can be contacted via phone (203) 889-2297.

Contact Information

Primary practice address
755 Campbell Ave Suite 2 West Haven CT 06516-3715
Phone: (203) 889-2297
Fax: (203) 889-2249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 004531 Connecticut

Profile Details

NPI number 1750681003
LBN Legal business name Marcucio, Elizabeth
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2010
Last updated Apr 20th, 2016 - about 10 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 1750681003 NPPES
Connecticut Other 004531 LICENSE

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