Provider Demographics
NPI:1093013492
Name:COMERFORD, MARILEE LINTNER (RN)
Entity Type:Individual
Prefix:
First Name:MARILEE
Middle Name:LINTNER
Last Name:COMERFORD
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 1:8 CEDAR RD
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-1700
Mailing Address - Country:US
Mailing Address - Phone:781-834-3960
Mailing Address - Fax:
Practice Address - Street 1:8 CEDAR RD
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-1700
Practice Address - Country:US
Practice Address - Phone:781-834-3960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN179768163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse