Individual
JULIANNA MARIE MARICELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 LAKEVIEW CIR STE A, COVINGTON, LA 70433-7521
(985) 705-7733
Mailing address
19660 SUNSHINE AVE, COVINGTON, LA 70433-8889
(985) 705-7733
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
213455
LA
363L00000X
Nurse Practitioner
Primary
213455
LA
Other
Enumeration date
09/18/2025
Last updated
03/24/2026
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