Provider Demographics
NPI:1508905365
Name:DELGUERCIO, MARIANNE F (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARIANNE
Middle Name:F
Last Name:DELGUERCIO
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:200 MILL RD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:672 AQUIDNECK AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-5795
Practice Address - Country:US
Practice Address - Phone:401-847-0519
Practice Address - Fax:401-846-0283
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2020-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RINPP37080363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health