Doctor Name: | MRS. ROSEMARIE MARASCO |
NPI Number: | 1124173547 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | COA08503-NP |
Business Practice Address: | 888 Dayton St Suite 200 Yellow Springs, OH - 453871777 |
Business Phone Number: | 9377677291 |
Business Fax Number: | 9377671302 |
Mailing Address: | 3836 Sable Ridge Dr, BELLBROOK |
State: | OH |
Postal Code: | 453058725 |
Phone Number: | 9378482458 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 11/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA08503-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |