Doctor Name: | DANIELE C. PERRELLI MARSH |
NPI Number: | 1689986846 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.N.P. |
License Number: | COA 11616-NP |
Business Practice Address: | 121 W Main St Loudonville, OH - 448421247 |
Business Phone Number: | 4199940212 |
Business Fax Number: | 4199940215 |
Mailing Address: | 121 W Main St, LOUDONVILLE |
State: | OH |
Postal Code: | 448421247 |
Phone Number: | 4199940212 |
Fax Number: | 4199940215 |
NPI Enumeration Date: | 07/04/2010 |
NPI Last Update Date: | 01/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA 11616-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: |