1528356326 NPI number — LAURA ELIZABETH MARANO RUSH PA-C

Table of content: LAURA ELIZABETH MARANO RUSH PA-C (NPI 1528356326)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528356326 NPI number — LAURA ELIZABETH MARANO RUSH PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARANO RUSH
Provider First Name:
LAURA
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528356326
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8926 77TH TER E
Provider Second Line Business Mailing Address:
UNIT 101
Provider Business Mailing Address City Name:
LAKEWOOD RANCH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34202-6417
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
941-907-0222
Provider Business Mailing Address Fax Number:
941-907-0493

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8926 77TH TER E
Provider Second Line Business Practice Location Address:
UNIT 101
Provider Business Practice Location Address City Name:
LAKEWOOD RANCH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34202-6417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-907-0222
Provider Business Practice Location Address Fax Number:
941-907-0493
Provider Enumeration Date:
07/13/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363AM0700X , with the licence number:  PA9106039 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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