Provider Demographics
NPI:1043440225
Name:CEGLIA, ADRIANNE MARIE (RN)
Entity Type:Individual
Prefix:MS
First Name:ADRIANNE
Middle Name:MARIE
Last Name:CEGLIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6773 RAPIDS RD.
Mailing Address - Street 2:#142
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094
Mailing Address - Country:US
Mailing Address - Phone:716-225-5717
Mailing Address - Fax:
Practice Address - Street 1:3531 GAINES BASIN RD.
Practice Address - Street 2:ORLEANS CORRECTIONAL FACILITY
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411
Practice Address - Country:US
Practice Address - Phone:585-589-6820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY516551-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse