Individual
MRS. FELICA LASTELLE MARUCUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
835 GLENROCK RD, NORFOLK, VA 23502-3767
(757) 252-3000
Mailing address
600 GRESHAM DR, STE 8630B, NORFOLK, VA 23507-1904
(757) 388-6115
(757) 275-9998
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024174354
VA
Other
Enumeration date
12/25/2016
Last updated
11/05/2024
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