Individual
MR. ROCCO PETRUOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R N
Contact information
Practice address
6956 WICKERSHAM DR, FAYETTEVILLE, NC 28314-5156
(910) 257-5280
Mailing address
6956 WICKERSHAM DR, FAYETTEVILLE, NC 28314-5156
(910) 257-5280
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
149246
NC
163WM0705X
Medical-Surgical Registered Nurse
579317
CA
163WM0705X
Medical-Surgical Registered Nurse
RN238433
GA
163WM0705X
Medical-Surgical Registered Nurse
RN9204156
FL
163WM0705X
Medical-Surgical Registered Nurse
TRN308154
NV
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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