Nicole D Puccio
Nurse Practitioner - Neonatal
1 Medical Center Drive
Morgantown
, West Virginia 26506
Nicole D Puccio
Nurse Practitioner - Neonatal
1 Medical Center Drive
Morgantown
, West Virginia 26506
(304) 293-6963
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Nicole D Puccio
- Po Box 780
- Morgantown, WV
- Zip : 26507-0780
- Fax : (304) 293-6963
- Phone : (304) 293-7401
Second Address
- Nicole D Puccio
- 1 Medical Center Drive
- Morgantown, WV
- Zip : 26506
- Fax : (304) 598-6873
- Phone : (304) 598-4800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 66859 | WV |
National Provider Identifier
| NPI | 1235448366 |
|---|---|
| Provider Name | Nicole D Puccio |
| First Address | Morgantown, WV 26507-0780 |
| Second Address | Morgantown, WV 26506 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/10/2010 |
| Last Update Date | 22/10/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.