Provider Demographics
NPI:1528216355
Name:MAROTTA, LOUIS FRANCIS (RN)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:FRANCIS
Last Name:MAROTTA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30344 DEER MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-1675
Mailing Address - Country:US
Mailing Address - Phone:951-491-9454
Mailing Address - Fax:
Practice Address - Street 1:30344 DEER MEADOW RD
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-1675
Practice Address - Country:US
Practice Address - Phone:951-491-9454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA543033163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health