Mary Jane Fowler, LPN
Individual provider Active NPI Licensed Practical Nurse · Greece, NY
NPI 1487933537 · NPPES record last updated Aug 8, 2011
Key facts
- NPI
- 1487933537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 217801-1 (NY)
- Practice address
- 181 Rodessa Rd
Greece, NY 14616-4605 - Phone
- (585) 755-7992
- NPI assigned
- Aug 8, 2011
- 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 |
|---|---|---|---|
| 217801-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 217801-1 | NY | Yes |
Addresses
Primary practice location
181 Rodessa Rd
Greece, NY 14616-4605
Mailing address
181 Rodessa Rd
Greece, NY 14616-4605
Phone (585) 755-7992
Other providers in Greece, NY
- Susan Elaine Elkins
- Eyemart Express LLC
- Yolonda S Fair
- Kristy Fernandez
- John W Fingar
- Laquanda George
- Lisa Ann Goler
- Paul Graupman
- Greece Volunteer Ambulance Service Inc
- Chelsea Leigh Hassig
All providers in Greece, 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 Aug 8, 2011. 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.