Mary Ellen Ellen Pace, RN
Individual provider Active NPI Administrator Registered Nurse · Wynantskill, NY
NPI 1982176632 · NPPES record last updated Dec 19, 2018
Key facts
- NPI
- 1982176632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Administrator Registered Nurse 163WA2000X
- License
- 532421 (NY)
- Practice address
- 614 Cooper Hill Rd
Wynantskill, NY 12198-2906 - Phone
- (518) 283-6500
- Fax
- (518) 283-0524
- NPI assigned
- Dec 19, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 532421 | NY | MD | Administrator Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 532421 | NY | Yes |
Addresses
Primary practice location
614 Cooper Hill Rd
Wynantskill, NY 12198-2906
Mailing address
614 Cooper Hill Rd
Wynantskill, NY 12198-2906
Phone (518) 283-6500
Other providers in Wynantskill, NY
- Meghan Mosch
- Melinda Y Myers
- North Greenbush Ambulance Association Inc
- Maureen O'Brien
- Suzanne A O'Connor
- Pakatar LCSW Counseling Services, PLLC
- Ritchie J Parrotta
- Scott Michael Parrotta
- Lisa M Passino
- Marie Teresa Patrignani
All providers in Wynantskill, NY · Administrator 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 Dec 19, 2018. 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.