National Provider Identifier

Marilyn Wallin

Marilyn Wallin is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Jamestown, NY and a listed phone number of (716) 484-4334.

NPI 1750069092Jamestown, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1750069092
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
July 07, 2023
Last Updated
April 03, 2024

Practice Location

  • 107 Institute St # Na
  • Jamestown, NY 14701-6628

Phone: (716) 484-4334

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1750069092
Entity Type
Individual
Last Name
Wallin
First Name
Marilyn
Mailing Street Address
107 Institute St # Na
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-6628
Mailing Country
US
Mailing Phone
(716) 484-4334
Practice Street Address
107 Institute St # Na
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-6628
Practice Country
US
Practice Phone
(716) 484-4334
Enumeration Date
July 07, 2023
Last Updated
April 03, 2024
Sex
Female
Sole Proprietor
No
Certification Date
April 03, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)