National Provider Identifier

Marisa Terry, LPN

Marisa Terry, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (716) 894-7777.

NPI 1750611661Cheektowaga, NYLicensed Practical Nurse

Profile Overview

NPI
1750611661
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 29, 2009
Last Updated
December 29, 2009

Practice Location

  • 1680 Walden Ave
  • Cheektowaga, NY 14225-4914

Phone: (716) 894-7777

Mailing Address

  • 6221 Route 474
  • Ashville, NY 14710

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1750611661
Entity Type
Individual
Last Name
Terry
First Name
Marisa
Credential
LPN
Mailing Street Address
6221 Route 474
Mailing City
Ashville
Mailing State
NY
Mailing ZIP Code
14710
Mailing Country
US
Mailing Phone
(716) 782-4158
Practice Street Address
1680 Walden Ave
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-4914
Practice Country
US
Practice Phone
(716) 894-7777
Practice Fax
(716) 894-0604
Enumeration Date
December 29, 2009
Last Updated
December 29, 2009
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)