Mary Antoinette Boisvert, R.N.
Individual provider Active NPI Registered Nurse · East Greenbush, NY
NPI 1851645667 · NPPES record last updated Oct 31, 2012
Key facts
- NPI
- 1851645667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 378156 (NY)
- Practice address
- 55 Werking Rd
East Greenbush, NY 12061-9302 - Phone
- (518) 477-6830
- NPI assigned
- Oct 31, 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 378156 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 378156 | NY | Yes |
Addresses
Primary practice location
55 Werking Rd
East Greenbush, NY 12061-9302
Mailing address
55 Werking Rd
East Greenbush, NY 12061-9302
Phone (518) 477-6830
Other providers in East Greenbush, NY
- Laxmikant Bhoiwala
- Denise Bilka
- Shakara Blackshear
- Myriam Blaise
- Blizo NP Adult Health, PLLC
- Vadeemia Bond
- Denise Boniface
- Kelly Brambrick
- Nancy Brennan-Jordan
- Kristen Brown
All providers in East Greenbush, NY · 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 Oct 31, 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.