MEDICARE: JANEEN MARCHITTE LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	234442-1	NY

General Provider Information

NPI Number	:	1194199067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANEEN MARCHITTE LPN

Provider Business Mailing Address
First Line	:	35 CALDWELL DR
Second Line	:
City	:	WEST SENECA
State	:	NY
Zip	:	14224-5008
Country	:	US
Telephone Number	:	716-225-1118
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 CALDWELL DR
Second Line	:
City	:	WEST SENECA
State	:	NY
Zip	:	14224-5008
Country	:	US
Telephone Number	:	716-225-1118
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2015
Last Update Date	:	11/16/2015

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