National Provider Identifier

Marlis Gantuz

Marlis Gantuz is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 201-0124.

NPI 1669816427Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1669816427
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 24, 2013
Last Updated
April 24, 2013

Practice Location

  • 125 Spanish Trl Apt F
  • Rochester, NY 14612-4612

Phone: (585) 201-0124

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1669816427
Entity Type
Individual
Last Name
Gantuz
First Name
Marlis
Mailing Street Address
125 Spanish Trl Apt F
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14612-4612
Mailing Country
US
Practice Street Address
125 Spanish Trl Apt F
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14612-4612
Practice Country
US
Practice Phone
(585) 201-0124
Enumeration Date
April 24, 2013
Last Updated
April 24, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)