Brynne Marie Maietta, LPN
Individual provider Active NPI Licensed Practical Nurse · Holmes, NY
NPI 1326388174 · NPPES record last updated Feb 15, 2013
Key facts
- NPI
- 1326388174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 297804 (NY)
- Practice address
- 313 Grape Hollow Rd
Holmes, NY 12531-5420 - Phone
- (845) 214-3486
- NPI assigned
- Feb 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297804 | NY | MD | Diagnostic Radiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 297804 | NY | Yes |
Addresses
Primary practice location
313 Grape Hollow Rd
Holmes, NY 12531-5420
Mailing address
313 Grape Hollow Rd
Holmes, NY 12531-5420
Phone (845) 214-3486
Other providers in Holmes, NY
- Erma Hall-Crowley
- Amanda C Hetherington
- Nancy Ellen Iankowitz
- KNH Partners
- Debra Sue Larocchia
- Ramza Shahid Malik
- Nancy J Matteo
- Robin Marie Meyers
- Zane A Miranda
- Karen Julia Montagna
All providers in Holmes, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.