National Provider Identifier
Marnie Pealo
Marnie Pealo is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ovid, NY and a listed phone number of (607) 403-0065.
Profile Overview
- NPI
- 1821546086
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 16, 2016
- Last Updated
- September 16, 2016
Practice Location
- 7150 Main St
- Ovid, NY 14521-9401
Phone: (607) 403-0065
Mailing Address
- 14 Maiden Ln
- Penn Yan, NY 14527-1208
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1821546086
- Entity Type
- Individual
- Last Name
- Pealo
- First Name
- Marnie
- Mailing Street Address
- 14 Maiden Ln
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-1208
- Mailing Country
- US
- Mailing Phone
- (315) 531-9102
- Mailing Fax
- (315) 531-9103
- Practice Street Address
- 7150 Main St
- Practice City
- Ovid
- Practice State
- NY
- Practice ZIP Code
- 14521-9401
- Practice Country
- US
- Practice Phone
- (607) 403-0065
- Practice Fax
- (607) 403-0093
- Enumeration Date
- September 16, 2016
- Last Updated
- September 16, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 291135 (NY, License)