Provider Demographics
NPI:1932982220
Name:RAUCCI, MARILYN ASHLEY (RN)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:ASHLEY
Last Name:RAUCCI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MARILYN
Other - Middle Name:A
Other - Last Name:VELO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 NW 117TH TER
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-8071
Mailing Address - Country:US
Mailing Address - Phone:954-224-4941
Mailing Address - Fax:
Practice Address - Street 1:125 NW 117TH TER
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-8071
Practice Address - Country:US
Practice Address - Phone:954-224-4941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9507085163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse