Provider Demographics
NPI:1104623511
Name:NOTARIO, MARICEL DE LEON
Entity type:Individual
Prefix:
First Name:MARICEL
Middle Name:DE LEON
Last Name:NOTARIO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:MARICEL
Other - Middle Name:D
Other - Last Name:PAPUGANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:711 FENWICK ST
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-3123
Mailing Address - Country:US
Mailing Address - Phone:402-594-6262
Mailing Address - Fax:
Practice Address - Street 1:711 FENWICK ST
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-3123
Practice Address - Country:US
Practice Address - Phone:402-594-6262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion