Jennifer Marriott

Individual provider Active NPI Licensed Practical Nurse · Richfield Springs, NY

NPI 1669723607 · NPPES record last updated Mar 18, 2015

Key facts

NPI
1669723607
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
310773-1 (NY)
Practice address
1040 County Highway 25
Richfield Springs, NY 13439-4722
Phone
(315) 858-5448
NPI assigned
Oct 1, 2012
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

LicenseStateTypeSpecialty
310773-1NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 310773-1 NY Yes

Addresses

Primary practice location

1040 County Highway 25
Richfield Springs, NY 13439-4722

Mailing address

1040 County Highway 25
Richfield Springs, NY 13439-4722
Phone (315) 858-5448

Other names

  • Jennifer Natali Former name

Other providers in Richfield Springs, NY

All providers in Richfield Springs, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.