National Provider Identifier

Mary Roller, LPN

Mary Roller, 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 1790924736Cheektowaga, NYLicensed Practical Nurse

Profile Overview

NPI
1790924736
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 16, 2009
Last Updated
February 16, 2009

Practice Location

  • 1680 Walden Ave
  • Cheektowaga, NY 14225-4914

Phone: (716) 894-7777

Mailing Address

  • PO Box 197
  • Ashville, NY 14710-0197

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1790924736
Entity Type
Individual
Last Name
Roller
First Name
Mary
Credential
LPN
Mailing Street Address
PO Box 197
Mailing City
Ashville
Mailing State
NY
Mailing ZIP Code
14710-0197
Mailing Country
US
Mailing Phone
(716) 782-3151
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
February 16, 2009
Last Updated
February 16, 2009
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)