National Provider Identifier

Mary Jo Houghtaling, RN

Mary Jo Houghtaling, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Horseheads, NY and a listed phone number of (607) 795-2582.

NPI 1063122067Horseheads, NYRegistered Nurse

Profile Overview

NPI
1063122067
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
November 30, 2022
Last Updated
November 30, 2022

Practice Location

  • 812 Center St
  • Horseheads, NY 14845-2320

Phone: (607) 795-2582

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1063122067
Entity Type
Individual
Last Name
Houghtaling
First Name
Mary Jo
Credential
RN
Mailing Street Address
812 Center St
Mailing City
Horseheads
Mailing State
NY
Mailing ZIP Code
14845-2320
Mailing Country
US
Mailing Phone
(607) 795-2582
Practice Street Address
812 Center St
Practice City
Horseheads
Practice State
NY
Practice ZIP Code
14845-2320
Practice Country
US
Practice Phone
(607) 795-2582
Enumeration Date
November 30, 2022
Last Updated
November 30, 2022
Sex
Female
Sole Proprietor
No
Certification Date
November 30, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)
Other Identifiers
163W00000X (NY)