Marie Isabella Holland, LPN
Individual provider Active NPI Registered Nurse · Lake Peekskill, NY
NPI 1356527014 · NPPES record last updated Dec 23, 2024
Key facts
- NPI
- 1356527014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 785986-01 (NY)
- Practice address
- 45 Morrissey Dr
Lake Peekskill, NY 10537-1219 - Phone
- (845) 284-2494
- NPI assigned
- Jan 12, 2008
- 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 |
|---|---|---|---|
| 785986-01 | NY | MD | Registered Nurse |
| 217936-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 217936-1 | NY | |
| Registered Nurse | 163W00000X | 785986-01 | NY | Yes |
Addresses
Primary practice location
45 Morrissey Dr
Lake Peekskill, NY 10537-1219
Mailing address
45 Morrissey Dr
Lake Peekskill, NY 10537-1219
Phone (845) 661-6916
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01779304 | Medicaid | NY |
Other names
- Ms. Marie Isabella Deye
Other providers in Lake Peekskill, NY
- Beth Marianne Cofini-Martin
- Lisa Cozzi
- Samuel Davis
- Diana Duma
- Kimberly Page Hance
- James Earl La Voy
- Alison Nicole Loewy
- Jane Pagan
- David Perez
- Danielle D Rivera
All providers in Lake Peekskill, NY · Registered 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 Dec 23, 2024. 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.