Mary Ellen Ellen Pace, RN
Registered Nurse, Administrator in Wynantskill, NY. Individual provider (NPI-1).
NPI number1982176632
StatusActive
Last updated in NPPESDec 19, 2018
Details
- NPI
- 1982176632
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary Ellen Ellen Pace
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2018
- Last updated
- Dec 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WA2000X | Registered Nurse, Administrator | 532421 | NY | Yes |
Practice location
614 Cooper Hill RdWynantskill, NY 12198-2906
Phone 518-283-6500 · Fax 518-283-0524
Mailing address
614 Cooper Hill RdWynantskill, NY 12198-2906
Phone 518-283-6500 · Fax 518-283-0524
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