LYNDA CAROL MARROLETTI AGPCNP-C NPI 1629543129

NPI Information

NPI: 1629543129
Provider Name: LYNDA CAROL MARROLETTI, AGPCNP-C
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC

PECOS Registration: Yes

Address:
3636 HIGH ST
PORTSMOUTH, VA
ZIP 23707
Phone: (757) 398-2200
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Lynda Carol Marroletti, AGPCNP-C is a gerontology nurse practitioner in Portsmouth, VA with 6 years of experience. Lynda Carol Marroletti, AGPCNP-C NPI is 1629543129. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

3636 HIGH ST
PORTSMOUTH, VA
ZIP 23707-236
Phone: (757) 398-2200

The NPI 1629543129 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/10/2018 and was last updated on 2/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	0024177066	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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