Doctor Name: | RITA M MARASCALCO-KING |
NPI Number: | 1033205695 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | APO1228 |
Business Practice Address: | 1501 Kings Hwy Partners In Wellness Shreveport, LA - 71130 |
Business Phone Number: | 3188132225 |
Business Fax Number: | 3188132239 |
Mailing Address: | 1501 Kings Hwy, Partners In Wellness SHREVEPORT |
State: | LA |
Postal Code: | 71130 |
Phone Number: | 3188132225 |
Fax Number: | 3188132239 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 12/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | APO1228 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |