Annmarie Marsh, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Selkirk, NY
NPI 1770845802 · NPPES record last updated Jun 14, 2012
Key facts
- NPI
- 1770845802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 352858 (NY)
- Practice address
- 22 Vista LN
Selkirk, NY 12158-9739 - Phone
- (518) 439-0961
- NPI assigned
- Jun 14, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 352858 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 352858 | NY | Yes |
Addresses
Primary practice location
22 Vista LN
Selkirk, NY 12158-9739
Mailing address
22 Vista LN
Selkirk, NY 12158-9739
Phone (518) 439-0961
Other providers in Selkirk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2012. 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.