Provider Demographics
NPI:1558512517
Name:MAGARELLI, DENISE (RN)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:
Last Name:MAGARELLI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13104 DUNWICK RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-8263
Mailing Address - Country:US
Mailing Address - Phone:803-431-0488
Mailing Address - Fax:
Practice Address - Street 1:13104 DUNWICK RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-8263
Practice Address - Country:US
Practice Address - Phone:803-431-0488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY368077-1163W00000X
FL9615338163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse