Provider Demographics
NPI:1831756386
Name:TROTTA, MARINA GEORGETTE (RN BSN)
Entity type:Individual
Prefix:
First Name:MARINA
Middle Name:GEORGETTE
Last Name:TROTTA
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:MARINA
Other - Middle Name:GEORGETTE
Other - Last Name:RUTHERFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN BSN
Mailing Address - Street 1:127 BRIDLE RD
Mailing Address - Street 2:
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116-1434
Mailing Address - Country:US
Mailing Address - Phone:412-320-9519
Mailing Address - Fax:
Practice Address - Street 1:373 BURROWS ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2201
Practice Address - Country:US
Practice Address - Phone:412-383-1550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-21
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN671117163WN0002X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care