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Marylou Stanton, FNP
Family Nurse Practitioner in Norwich, New York
NPI 1487035739

Marylou Stanton is a Family Nurse Practitioner based in Norwich, NY and is specialized in Family. Marylou Stanton practices in Norwich, NY and has the professional credentials of FNP. The NPI Number for Marylou Stanton is 1487035739 and holds a License No. 339648 (New York).

The current practice location address for Marylou Stanton is 179 N Broad St, Norwich, NY and can be reached out via phone at 607-337-4111 and via fax at 607-337-4649.

Location: 179 N Broad St, Norwich, NY, 13815-1019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487035739
Provider Name
Marylou Stanton
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
179 N Broad St, Norwich, NY, 13815-1019
Phone Number
607-337-4111
Fax Number
607-337-4649
Provider Enumeration Date
06/12/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15-0532180 01 NY TAX IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
179 N Broad St
City
Norwich
State
New York
Zip
13815-1019
Phone Number
607-337-4111
Fax Number
607-337-4649
person
Provider Business Mailing Address Details
Address
179 N Broad St
City
Norwich
State
New York
Zip
13815-1019
Phone Number
607-337-4111
Fax Number
607-337-4649
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
339648 (New York)
Definition
Definition to come...
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