Marc A Incitti, RN
Registered Nurse, Critical Care Medicine in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1336722784
StatusActive
Last updated in NPPESMay 4, 2021
Details
- NPI
- 1336722784
- Entity type
- Individual (NPI-1)
- Name
- Marc A Incitti
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2021
- Certification date
- May 4, 2021
- Last updated
- May 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0200X | Registered Nurse, Critical Care Medicine | RN63676 | PA | Yes |
| 163WE0003X | Registered Nurse, Emergency | RN63676 | PA | |
| 163WG0100X | Registered Nurse, Gastroenterology | RN63676 | PA | |
| 163WM0705X | Registered Nurse, Medical-Surgical | RN63676 | PA | |
| 163WU0100X | Registered Nurse, Urology | RN63676 | PA |
Practice location
575 N River StWilkes Barre, PA 18764-0999
Phone 570-829-8111
Mailing address
459 Fulton St Apt 3Waverly, NY 14892-1378
Phone 570-550-2794
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