Marianne T. Wilson
Individual provider Active NPI Case Management Registered Nurse · Addison, NY
NPI 1386976058 · NPPES record last updated Feb 5, 2010
Key facts
- NPI
- 1386976058
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- 322367 (NY)
- Practice address
- 1827 Manley Road
Addison, NY 14801 - Phone
- (607) 359-2117
- NPI assigned
- Feb 5, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 322367 | NY | MD | Case Management Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 322367 | NY | Yes |
Addresses
Primary practice location
1827 Manley Road
Addison, NY 14801
Mailing address
1827 Manley Rd
Addison, NY 14801-9781
Phone (607) 359-2117
Other providers in Addison, NY
- Lenora Marie Stuart
- Taylor Furey Terwilliger
- Amanda Thompson
- Total Wellness Physical Therapy PLLC
- Erica Wolff Verkleeren
- Marlo A. Woodhouse
All providers in Addison, NY · Case Management 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 Feb 5, 2010. 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.