Andrea Vanessa Caraccioli, M.D.
Hospitalist in Albert Lea, MN. Individual provider (NPI-1).
NPI number1083057970
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1083057970
- Entity type
- Individual (NPI-1)
- Name
- Andrea Vanessa Caraccioli
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2013
- Last updated
- Jun 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 61933 | MN | Yes |
| 207Q00000X | Family Medicine | 285077 | NY |
Practice location
404 W Fountain StAlbert Lea, MN 56007-2437
Phone 507-373-2384
Mailing address
1000 1st Dr NwAustin, MN 55912-2941
Phone 507-433-7351
Other practice locations
301 E Main Street
Bay Shore, NY 11706-8004
Bay Shore, NY 11706-8004
Phone 631-968-3295
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