National Provider Identifier

Marylynn Zelazny

Marylynn Zelazny is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Medina, NY and a listed phone number of (716) 783-1836.

NPI 1417615071Medina, NYLicensed Practical Nurse

Profile Overview

NPI
1417615071
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 01, 2021
Last Updated
December 01, 2021

Practice Location

  • 11722 Harrison RD
  • Medina, NY 14103-9748

Phone: (716) 783-1836

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1417615071
Entity Type
Individual
Last Name
Zelazny
First Name
Marylynn
Mailing Street Address
11722 Harrison RD
Mailing City
Medina
Mailing State
NY
Mailing ZIP Code
14103-9748
Mailing Country
US
Mailing Phone
(716) 783-1836
Practice Street Address
11722 Harrison RD
Practice City
Medina
Practice State
NY
Practice ZIP Code
14103-9748
Practice Country
US
Practice Phone
(716) 783-1836
Enumeration Date
December 01, 2021
Last Updated
December 01, 2021
Sex
Female
Sole Proprietor
No
Certification Date
December 01, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)