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Deactivated NPI 1316161557 Deactivated / Inactive NPI Female Practitioner

Illa De Martucci , ARNP

Specialist • Pasco, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Illa Martucci has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 12, 2007
NPI Deactivation Date March 07, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Illa Martucci, ARNP was a registered Specialist practicing in Pasco, WA. Throughout an active medical career spanning 10 years, Illa Martucci provided care at the practice location at 6 LAVENDER CT until profile deactivation on 2017-03-07.

Practice Location & Contact Primary Location

Practice Address

6 Lavender Ct

Pasco, WA 993011899

Telephone 5095442164
Fax 5095448813

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Pasco, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.0 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Pasco, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA AP30005472

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 07, 2017

Record deactivated on March 07, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 6 LAVENDER CT, PASCO, WA 993011899 (Tel: 5095442164)

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Updated Business Mailing Address July 08, 2007

Registered at 6 LAVENDER CT, PASCO, WA 993011899 (Tel: 5095442164)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ILLA MARTUCCI, ARNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #AP30005472 in WA)

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Initial NPI Registration & Enumeration April 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316161557
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2007
Last Update: July 08, 2007
Deactivation Date: March 07, 2017

Mailing Address

6 Lavender Ct

Pasco, WA 993011899

Phone: 5095442164

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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