Provider Demographics
NPI:1699178095
Name:MARASCO, SHIRLAYNE JOY (ARNP)
Entity Type:Individual
Prefix:
First Name:SHIRLAYNE
Middle Name:JOY
Last Name:MARASCO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:SHIRLAYNE
Other - Middle Name:JOY
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2016 E STATE ROAD 60
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-3605
Mailing Address - Country:US
Mailing Address - Phone:813-502-5666
Mailing Address - Fax:
Practice Address - Street 1:2016 E STATE ROAD 60
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594-3605
Practice Address - Country:US
Practice Address - Phone:813-502-5666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-30
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3213122363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily