Ellen Catherine Guiney, RN

Individual provider Active NPI Registered Nurse · Tupper Lake, NY

NPI 1831332477 · NPPES record last updated Apr 13, 2009

Key facts

NPI
1831332477
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
283189 (NY)
Practice address
52 Lincoln Dr
Tupper Lake, NY 12986-1517
Phone
(518) 359-2057
NPI assigned
Apr 13, 2009
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
283189NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 283189 NY Yes

Addresses

Primary practice location

52 Lincoln Dr
Tupper Lake, NY 12986-1517

Mailing address

52 Lincoln Dr
Tupper Lake, NY 12986-1517
Phone (518) 359-2057

Other providers in Tupper Lake, NY

All providers in Tupper Lake, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.