Provider Demographics
NPI:1770020794
Name:CIGLIUTI, MARISELA (RN, BSN)
Entity Type:Individual
Prefix:
First Name:MARISELA
Middle Name:
Last Name:CIGLIUTI
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 6TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-3161
Mailing Address - Country:US
Mailing Address - Phone:201-681-5422
Mailing Address - Fax:
Practice Address - Street 1:303 MAIN ST STE N
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5733
Practice Address - Country:US
Practice Address - Phone:277-213-8994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-28
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9329863163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NR14948400OtherSELF PAY