National Provider Identifier

Mary Hope Von Wald, LPN

Mary Hope Von Wald, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 380-0638.

NPI 1689216053Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1689216053
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 17, 2019
Last Updated
October 17, 2019

Practice Location

  • 164 Eden St
  • Buffalo, NY 14220-2666

Phone: (716) 380-0638

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1689216053
Entity Type
Individual
Last Name
Von Wald
First Name
Mary
Middle Name
Hope
Credential
LPN
Mailing Street Address
164 Eden St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14220-2666
Mailing Country
US
Mailing Phone
(716) 380-0638
Practice Street Address
164 Eden St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14220-2666
Practice Country
US
Practice Phone
(716) 380-0638
Enumeration Date
October 17, 2019
Last Updated
October 17, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)