Individual
DR. ELLEN MARCOLONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
9205990
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01130239
AMERIGROUP-MEDICARE
FL
01
—
1062439
CAREPLUS
FL
01
—
15607001
CITRUS-49TH STREET
FL
01
—
15607002
CITRUS-PASADENA AVE S
FL
01
—
15607003
CITRUS-WEST BAY
FL
01
—
201266825
BEECH STREET
FL
01
—
3082130
MEDIPASS
FL
01
—
308213000
MEDIPASS
FL
05
—
308213000
—
FL
01
—
308266
AVMED
FL
01
—
P00662873
MEDICARE-RAILROAD
FL
01
—
P03332
FREEDOM HEALTH
FL
01
—
Y113D
BLUE CROSS BLUE SHEILD OF FLORIDA
FL
Enumeration date
02/16/2007
Last updated
06/22/2015
Update your record
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