Provider Demographics
NPI:1174846687
Name:MARTEL, DENISE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:
Last Name:MARTEL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 HURD AVE
Mailing Address - Street 2:
Mailing Address - City:GARNERVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10923-1805
Mailing Address - Country:US
Mailing Address - Phone:845-429-4296
Mailing Address - Fax:
Practice Address - Street 1:41 HURD AVE
Practice Address - Street 2:
Practice Address - City:GARNERVILLE
Practice Address - State:NY
Practice Address - Zip Code:10923-1805
Practice Address - Country:US
Practice Address - Phone:845-429-4296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01000290264164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse