Ola Marie Trieb

Individual provider Active NPI Licensed Practical Nurse · Chittenango, NY

NPI 1700341963 · NPPES record last updated Feb 1, 2019

Key facts

NPI
1700341963
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
261982 (NY)
Practice address
7427 Sandy Hatch Rd
Chittenango, NY 13037-9517
Phone
(315) 559-7472
NPI assigned
Feb 1, 2019
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 261982 NY Yes

Addresses

Primary practice location

7427 Sandy Hatch Rd
Chittenango, NY 13037-9517

Mailing address

PO Box 274
Chittenango, NY 13037-0274
Phone (315) 559-7472

Other providers in Chittenango, NY

All providers in Chittenango, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.