Individual
ELISE PACITTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
790 CHURCH ST NE, SUITE 250, MARIETTA, GA 30060-7282
(678) 797-8201
(678) 290-8325
Mailing address
790 CHURCH ST NE, SUITE 230, MARIETTA, GA 30060-7282
(678) 797-8201
(678) 290-8325
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
099451
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390946
WELLCARE
GA
01
—
P00197553
RAILROAD MEDICARE
GA
Enumeration date
08/23/2005
Last updated
10/24/2007
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