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NPI 1699051235 · live from the CMS NPI Registry

Mary Beach, RN

Registered Nurse, Hospice in Cortland, NY. National Provider Identifier 1699051235, active.

NPI record

NPI1699051235 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, Hospice 163WH1000X
Practice location11 Kennedy Pkwy, Cortland, NY 13045
Practice phone607-753-9105
Mailing address6 Willow Park Dr E, Homer, NY 13077
EnumeratedOctober 27, 2011
Last updatedOctober 27, 2011
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Hospice primary163WH1000X307347 (NY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.