MARK JAMES COLALUCA CNP NPI 1467091751

NPI Information

NPI: 1467091751
Provider Name: MARK JAMES COLALUCA, CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
835 MCKAY CT STE 100
BOARDMAN, OH
ZIP 44512
Phone: (330) 758-4399
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Mark James Colaluca, CNP is an adult health nurse practitioner in Boardman, OH with 5 years of experience. Mark James Colaluca, CNP NPI is 1467091751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

835 MCKAY CT STE 100
BOARDMAN, OH
ZIP 44512-786
Phone: (330) 758-4399
Fax: (330) 758-8995

The NPI 1467091751 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 1/3/2020 and was last updated on 1/3/2020.

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	363LA2200X	Nurse Practitioner	Adult Health	APRN.CNP.025827	OHIO	Yes
2	363LG0600X	Nurse Practitioner	Gerontology	APRN.CNP.025827	OHIO	No

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: 4/28/2024

NPI Synchronization or Removal

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