National Provider Identifier

Marian Moreno

Marian Moreno is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in North Tonawanda, NY and a listed phone number of (716) 541-4731.

NPI 1023748027North Tonawanda, NYLicensed Practical Nurse

Profile Overview

NPI
1023748027
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 13, 2022
Last Updated
March 04, 2026

Practice Location

  • 614 Gilmore Ave
  • North Tonawanda, NY 14120-4358

Phone: (716) 541-4731

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1023748027
Entity Type
Individual
Last Name
Moreno
First Name
Marian
Mailing Street Address
614 Gilmore Ave
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-4358
Mailing Country
US
Mailing Phone
(716) 541-4731
Practice Street Address
614 Gilmore Ave
Practice City
North Tonawanda
Practice State
NY
Practice ZIP Code
14120-4358
Practice Country
US
Practice Phone
(716) 541-4731
Enumeration Date
June 13, 2022
Last Updated
March 04, 2026
Sex
Female
Sole Proprietor
No
Certification Date
March 04, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)