Healthcare Provider Details

I. General information

NPI: 1861762270
Provider Name (Legal Business Name): DENISE J RIBBLE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2012
Last Update Date: 01/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 MEADOW HILL RD MEADOW HILL SCHOOL HEALTH OFFICE
NEWBURGH NY
12550-3878
US

IV. Provider business mailing address

124 MEADOW HILL RD MEADOW HILL SCHOOL HEALTH OFFICE
NEWBURGH NY
12550-3878
US

V. Phone/Fax

Practice location:
  • Phone: 845-568-6648
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number22 386344
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: