Provider Demographics
NPI:1285673467
Name:SCIARRINO, GRETCHEN MARIE (NP)
Entity Type:Individual
Prefix:MS
First Name:GRETCHEN
Middle Name:MARIE
Last Name:SCIARRINO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 863407
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32886-0001
Mailing Address - Country:US
Mailing Address - Phone:941-917-8565
Mailing Address - Fax:941-917-8566
Practice Address - Street 1:1921 WALDEMERE ST
Practice Address - Street 2:SUITE 307
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2943
Practice Address - Country:US
Practice Address - Phone:941-917-8565
Practice Address - Fax:941-917-8566
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF420717363LW0102X
FLARNP9326992363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00474960Medicaid
NY02629752Medicaid
NYRB3948Medicare UPIN
NYRA5839Medicare UPIN
NYQ37677Medicare UPIN