ELLEN MARIE LUCCA (NPI# 1023652070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023652070 |
| Entity Type | Individual |
| Full Name | ELLEN MARIE LUCCA |
| Credential | FNP-C |
| Practice Address |
111 East Catharine St. Suite 210 Milford PA 18337 |
| Practice Telephone | 8457424204 |
| Mailing Telephone | 8457424204 |
| Enumeration Date | 2019-11-03 |
| Last Update Date | 2020-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN591454 | PA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP021781 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
111 EAST CATHARINE ST. SUITE 210 |
| City | MILFORD |
| State | PA |
| Zip Code | 18337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568431 | Northeastern Behavioral Health, PC | Clinic/Center | 140 Bennett Avenue, Suite 1b, Milford, PA 18337 | 2020-01-27 |
| 1609421064 | Deborah Reynolds Lpn | Licensed Practical Nurse | 123 Sylvaer Drive, Milford, PA 18337 | 2019-08-02 |
| 1003334491 | Jessica Balcarcel | Specialist/Technologist | 154 Bayberry Drive, Milford, PA 18337 | 2017-09-06 |
| 1528502549 | Ashley Lyn Catanzaro | Occupational Therapist | 101 Pocono Drive, Milford, PA 18337 | 2016-12-09 |
| 1164857108 | Benjamin Muller | Physical Therapist | 518 Routes 6 and 209, Milford, PA 18337 | 2013-09-10 |
| 1457629024 | Andrew James Dickson | Pharmacist | 105 Wheatfield Dirve, Suite 2, Milford, PA 18337 | 2011-12-09 |
| 1801163225 | Alitons Pharmacy Home Healthcare Centers of Milford Inc | Durable Medical Equipment & Medical Supplies | 111-113 Route 6 Alitons Plaza, Milford, PA 18337 | 2011-11-30 |
| 1639465438 | John Mario Lettieri IIi | Pharmacist | 100 West Harford, Milford, PA 18337 | 2011-06-21 |
| 1265661961 | Harry George Boyle | Dentist | 211 East Harford Street, Milford, PA 18337 | 2009-07-02 |
| 1659596377 | Mark Imbrie | Psychologist | 204 E Harford Street, Milford, PA 18337 | 2007-04-16 |
| Find all providers in zip 18337 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382463 | Mallory Deel | Nurse Practitioner | 415 E Dawson Rd, Milford, MI 48381-3215 | 2020-10-06 |
| 1831718972 | Deepa Abhilash | Nurse Practitioner | Nanticoke Memorial Hospital, 801, Middleford Rd, Milford, DE 19973 | 2020-04-09 |
| 1306475306 | Advanced Telemedicine LLC | Nurse Practitioner | 6 W River St Unit 491, Milford, CT 06460-9471 | 2020-04-02 |
| 1760016778 | Erica Lynn Bogan | Nurse Practitioner | 30 Bolt Ln, Milford, CT 06461-2001 | 2020-02-28 |
| 1184136350 | Paul Inge | Nurse Practitioner | 301 Jefferson Avenue, Mail Code 3119, Milford, DE 19963 | 2017-10-27 |
| 1295184570 | Kristal Clark | Nurse Practitioner | 415 E Stoneridge Dr, Milford, OH 45150-5037 | 2016-06-08 |
| 1033583976 | Daniel Gallagher | Nurse Practitioner | 1295 Betty Ln, Milford, OH 45150-2397 | 2015-11-16 |
| 1356697312 | Connie C Catron | Nurse Practitioner | 322 N Chicago St, Hoopeston Community Memorial Hospital Dba Milford Medic, Milford, IL 60953-1012 | 2012-07-27 |
| 1114298700 | Lisa A Perna | Nurse Practitioner | 3151 Central Blvd, Milford, MI 48380-4435 | 2012-01-13 |
| 1629366265 | Camella L. Granara | Nurse Practitioner | 117 Old Wilton Rd, Milford, NH 03055-3120 | 2011-07-18 |
| Find all providers in MILFORD | ||||
Please comment or provide details below to improve the information on ELLEN MARIE LUCCA.
| 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.