National Provider Identifier

Marigrace King, LPN

Marigrace King, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ontario, NY and a listed phone number of (315) 690-2049.

NPI 1699145219Ontario, NYLicensed Practical Nurse

Profile Overview

NPI
1699145219
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 25, 2015
Last Updated
September 25, 2015

Practice Location

  • 5835 Alpine Dr
  • Ontario, NY 14519-9130

Phone: (315) 690-2049

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1699145219
Entity Type
Individual
Last Name
King
First Name
Marigrace
Credential
LPN
Mailing Street Address
5835 Alpine Dr
Mailing City
Ontario
Mailing State
NY
Mailing ZIP Code
14519-9130
Mailing Country
US
Mailing Phone
(315) 690-2049
Practice Street Address
5835 Alpine Dr
Practice City
Ontario
Practice State
NY
Practice ZIP Code
14519-9130
Practice Country
US
Practice Phone
(315) 690-2049
Enumeration Date
September 25, 2015
Last Updated
September 25, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)