Dena Ganoung, RN
Individual provider Active NPI School Registered Nurse · Interlaken, NY
NPI 1700217700 · NPPES record last updated Dec 2, 2013
Key facts
- NPI
- 1700217700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 434598-1 (NY)
- Practice address
- 8326 Main St
Interlaken, NY 14847-9789 - Phone
- (607) 869-9636
- Fax
- (607) 532-8540
- NPI assigned
- Dec 2, 2013
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 434598-1 | NY | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 434598-1 | NY | Yes |
Addresses
Primary practice location
8326 Main St
Interlaken, NY 14847-9789
Mailing address
8326 Main St
Interlaken, NY 14847-9789
Phone (607) 869-9636
Other providers in Interlaken, NY
- Elizabeth Grace Borst
- Leigh Helen Grove
- Scott Adam Grove
- Alicia Masloski
- Calina Sue Mayo
- Alison Musa
All providers in Interlaken, NY · School 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 2, 2013. 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.