Provider Demographics
NPI:1982423216
Name:GIUFFRIDA, MARYANN ROJO (NP)
Entity type:Individual
Prefix:
First Name:MARYANN
Middle Name:ROJO
Last Name:GIUFFRIDA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20309 19TH ST S
Mailing Address - Street 2:
Mailing Address - City:LAKEBAY
Mailing Address - State:WA
Mailing Address - Zip Code:98349-9489
Mailing Address - Country:US
Mailing Address - Phone:253-444-8351
Mailing Address - Fax:
Practice Address - Street 1:20309 19TH ST S
Practice Address - Street 2:
Practice Address - City:LAKEBAY
Practice Address - State:WA
Practice Address - Zip Code:98349-9489
Practice Address - Country:US
Practice Address - Phone:253-444-8351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61614730363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily