National Provider Identifier

Marty Kay Spagnualo, LPN

Marty Kay Spagnualo, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Gerry, NY and a listed phone number of (716) 450-1435.

NPI 1346100146Gerry, NYLicensed Practical Nurse

Profile Overview

NPI
1346100146
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 13, 2025
Last Updated
November 13, 2025

Practice Location

  • 4397 Gerry Levant RD
  • Gerry, NY 14740-9536

Phone: (716) 450-1435

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1346100146
Entity Type
Individual
Last Name
Spagnualo
First Name
Marty
Middle Name
Kay
Credential
LPN
Mailing Street Address
4397 Gerry Levant RD
Mailing City
Gerry
Mailing State
NY
Mailing ZIP Code
14740-9536
Mailing Country
US
Mailing Phone
(716) 450-1435
Practice Street Address
4397 Gerry Levant RD
Practice City
Gerry
Practice State
NY
Practice ZIP Code
14740-9536
Practice Country
US
Practice Phone
(716) 450-1435
Enumeration Date
November 13, 2025
Last Updated
November 13, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
November 13, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)