Maryann Job, LPN
Individual provider Active NPI Licensed Practical Nurse · Corfu, NY
NPI 1952480949 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1952480949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 232303 (NY)
- Practice address
- 1740 Richley Rd
Corfu, NY 14036-9613 - Phone
- (585) 815-7643
- NPI assigned
- Nov 2, 2006
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 232303 | NY | Yes |
Addresses
Primary practice location
1740 Richley Rd
Corfu, NY 14036-9613
Mailing address
1740 Richley Rd
Corfu, NY 14036-9613
Phone (585) 815-7643
Other providers in Corfu, NY
- Jane Marie Green
- Sara N Hall
- Barbara Hartnett Elsenbeck
- Ronald Jagord
- Dawn Jaszko
- Peter J. Kelley
- Deborah Kern
- Tricia Ann Levinstein
- Karen C. Lewandowski
- Autumn Martin
All providers in Corfu, NY · Licensed Practical 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 Jul 8, 2007. 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.