Provider Demographics
NPI:1316691330
Name:MARZULLO, KARINA E (RN)
Entity type:Individual
Prefix:MRS
First Name:KARINA
Middle Name:E
Last Name:MARZULLO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 ROLIVER ST
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-2512
Mailing Address - Country:US
Mailing Address - Phone:201-966-6763
Mailing Address - Fax:
Practice Address - Street 1:22 ROLIVER ST
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2512
Practice Address - Country:US
Practice Address - Phone:201-966-6763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY782845-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse