Provider Demographics
NPI:1194199067
Name:MARCHITTE, JANEEN (LPN)
Entity Type:Individual
Prefix:
First Name:JANEEN
Middle Name:
Last Name:MARCHITTE
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 1:35 CALDWELL DR
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-5008
Mailing Address - Country:US
Mailing Address - Phone:716-225-1118
Mailing Address - Fax:
Practice Address - Street 1:35 CALDWELL DR
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-5008
Practice Address - Country:US
Practice Address - Phone:716-225-1118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234442-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse