Mrs Elaine Marie Petrucci, LPN is a
Licensed Practical Nurse based in Severna Park, Maryland. Mrs Elaine Marie Petrucci is licensed to practice in Maryland (license number LP34135) and her current practice location is
6 Riggs Ave, Severna Park, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 222-6577.
NPI number for Mrs Elaine Marie Petrucci is 1043431786 and her current mailing address is 1624 Angus Ct, Crofton, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043431786.
Provider's Profile
Full Name | Mrs Elaine Marie Petrucci |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 6 Riggs Ave, Severna Park, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043431786
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Elaine Marie Petrucci such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043431786 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LP34135 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Elaine Marie Petrucci is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Elaine Marie Petrucci, LPN 1624 Angus Ct, Crofton, MD 21114-2002 Ph: (410) 451-5932 | Mrs Elaine Marie Petrucci, LPN 6 Riggs Ave, Severna Park, MD 21146-3814 Ph: (410) 222-6577 |
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