MRS. RENEE LUCCI


Address: 15 Douglas St, Ambler, PA 19002-4941
Phone: 2154500718

MRS. RENEE LUCCI (NPI# 1699385146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699385146
Entity Type Individual
Full Name MRS. RENEE LUCCI
Other Name RENEE LUCCI
Credential CRNP
Practice Address 15 Douglas St
Ambler
PA 19002-4941
Practice Telephone 2154500718
Mailing Telephone 2154500718
Enumeration Date 2020-08-08
Last Update Date 2020-08-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
SP022319 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 15 DOUGLAS ST
City AMBLER
State PA
Zip Code 19002-4941

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City AMBLER
Zip Code 19002

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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