Marilyn Halladay
Individual provider Active NPI Licensed Practical Nurse · Sherburne, NY
NPI 1457587263 · NPPES record last updated Jun 8, 2009
Key facts
- NPI
- 1457587263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 283966-1 (NY)
- Practice address
- 94 North Main Street
Sherburne, NY 13460 - Phone
- (607) 674-6465
- NPI assigned
- Jun 8, 2009
- 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 |
|---|---|---|---|
| 283966-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 283966-1 | NY | Yes |
Addresses
Primary practice location
94 North Main Street
Sherburne, NY 13460
Mailing address
94 North Main Street
Sherburne, NY 13460
Other providers in Sherburne, NY
- Donna Lee Frank
- Candace Gayfield
- Ryan R Gayfield
- Andrea Sue Gunther
- Belinda R Hadamik
- Janice Marie Jerabeck
- Peggy L. Jessup
- Jonathon A Just
- Kimberly Maykish, PT
- Brenda Jean Kochanowski
All providers in Sherburne, 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 Jun 8, 2009. 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.