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Mallory Supley
Licensed Practical Nurse in Saranac Lake, New York
NPI 1144861089

Mallory Supley is a Licensed Practical Nurse based in Cadyville, NY. Mallory Supley practices in Saranac Lake, NY. The NPI Number for Mallory Supley is 1144861089 and holds a License No. 303566 (New York).

The current practice location address for Mallory Supley is 70 Edgewood Rd, Saranac Lake, NY and can be reached out via phone at 518-891-5535.

Location: 70 Edgewood Rd, Saranac Lake, NY, 12918-0234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144861089
Provider Name
Mallory Supley
Credential
Provider Entity Type
Individual
Gender
Female
Address
70 Edgewood Rd, Saranac Lake, NY, 12918-0234
Phone Number
518-891-5535
Fax Number
Provider Enumeration Date
10/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
70 Edgewood Rd
City
Saranac Lake
State
New York
Zip
12983-1537
Phone Number
518-891-5535
Fax Number
person
Provider Business Mailing Address Details
Address
70 Edgewood Rd
City
Saranac Lake
State
New York
Zip
12983-1537
Phone Number
518-891-5535
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
303566 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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