Kellyann Marie Musco, RN
Registered Nurse in Cuddebackville, NY. Individual provider (NPI-1).
NPI number1114249604
StatusActive
Last updated in NPPESMar 28, 2012
Details
- NPI
- 1114249604
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kellyann Marie Musco
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2010
- Last updated
- Mar 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 646048 | NY | Yes |
| 164W00000X | Licensed Practical Nurse | 270219 | NY |
Other names
- Kellyann Marie Dedes (Former Name)
Practice location
30 Galley Hill RdCuddebackville, NY 12729-5204
Phone 845-754-8756 · Fax 845-754-7141
Mailing address
30 Galley Hill RdCuddebackville, NY 12729-5204
Phone 845-754-8756 · Fax 845-754-7141
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