CARLA MARIES RICAFORT MARIANO AGACNP NPI 1003644279

NPI Information

  • NPI: 1003644279
  • Provider Name: CARLA MARIES RICAFORT MARIANO, AGACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6201 HARRY HINES BLVD
    DALLAS, TX
    ZIP 75235
  • Phone: (214) 633-5555

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NPI Details

Carla Maries Ricafort Mariano, AGACNP is an acute care nurse practitioner in Dallas, TX with 1 years of experience. Carla Maries Ricafort Mariano, AGACNP NPI is 1003644279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6201 HARRY HINES BLVD
DALLAS, TX
ZIP 75235-202
Phone: (214) 633-5555

The NPI 1003644279 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2024 and was last updated on 9/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care1030792TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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