Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marisa Petagno

Individual provider Medical-Surgical Registered Nurse · NPI 1538805759

Marisa Petagno is a Medical-Surgical Registered Nurse in White Plains, New York. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2022
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Practice location Address checks out

5 S Broadway 4th Fl
White Plains, NY 10601
Phone: (914) 293-5001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical-Surgical Registered Nurse (primary) Taxonomy 163WM0705X · Licence 738443 (NJ)

Record details

NPI number1538805759
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 10, 2022
Last updated in NPPESMay 10, 2022
Certification dateApril 26, 2022
Mailing address135 Orchard Park, Allendale, NJ 07401

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