Provider Demographics
NPI:1275121345
Name:MAROTTO, MARIA DANIELLE
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:DANIELLE
Last Name:MAROTTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 AMANITA DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25309-9785
Mailing Address - Country:US
Mailing Address - Phone:304-767-8098
Mailing Address - Fax:
Practice Address - Street 1:534 AMANITA DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-9785
Practice Address - Country:US
Practice Address - Phone:304-767-8098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant