Mary K. Northrup, RN
Registered Nurse, School in Ithaca, NY. Individual provider (NPI-1).
NPI number1861778490
StatusActive
Last updated in NPPESOct 27, 2011
Details
- NPI
- 1861778490
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary K. Northrup
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2011
- Last updated
- Oct 27, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WS0200X | Registered Nurse, School | 506318 | NY | Yes |
Practice location
20 Enfield Main RdIthaca, NY 14850-9367
Phone 607-274-2335 · Fax 607-274-6810
Mailing address
20 Enfield Main RdIthaca, NY 14850-9367
Phone 607-274-2335 · Fax 607-274-6810
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