Mary F Condon, FNP
Individual provider Active NPI Family Nurse Practitioner · Valhalla, NC
NPI 1851590434 · NPPES record last updated Jul 13, 2007
Key facts
- NPI
- 1851590434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 331348 (NY)
- Practice address
- 95 Grasslands Rd
5 North
Valhalla, NC 10595 - Phone
- (914) 493-5005
- Fax
- (914) 493-7602
- NPI assigned
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331348 | NY | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 331348 | NY | Yes |
Addresses
Primary practice location
95 Grasslands Rd
5 North
Valhalla, NC 10595
Mailing address
184 Agor LN
Mahopac, NY 10541-1331
Phone (914) 493-5005
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.