Healthcare Provider Details

I. General information

NPI: 1538312335
Provider Name (Legal Business Name): MARSHA ABE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2008
Last Update Date: 10/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MURRAY HL
MOUNT MORRIS NY
14510-1122
US

IV. Provider business mailing address

5417 WADSWORTH CV
GENESEO NY
14454-9619
US

V. Phone/Fax

Practice location:
  • Phone: 585-243-7290
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number484007-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: