Provider Demographics
NPI:1689825283
Name:MELLUCCI, CLAUDIA M (RN)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:M
Last Name:MELLUCCI
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 1:1301 SE 55TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480-5007
Mailing Address - Country:US
Mailing Address - Phone:352-624-1286
Mailing Address - Fax:
Practice Address - Street 1:1301 SE 55TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34480-5007
Practice Address - Country:US
Practice Address - Phone:352-624-1286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2164702163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management