Provider Demographics
NPI:1265220313
Name:MUSCARELLA, NICHOLAS PAUL
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:PAUL
Last Name:MUSCARELLA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5105 QUAIL HILL ST NW APT D
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-8411
Mailing Address - Country:US
Mailing Address - Phone:614-940-7228
Mailing Address - Fax:
Practice Address - Street 1:3916 ARLINGTON RD UNIT 1108
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-6951
Practice Address - Country:US
Practice Address - Phone:614-653-9085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker