Provider Demographics
NPI:1265661011
Name:MAGLOIRE, MYRLANDE (RN)
Entity Type:Individual
Prefix:MRS
First Name:MYRLANDE
Middle Name:
Last Name:MAGLOIRE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:MYRLANDE
Other - Middle Name:
Other - Last Name:VICTOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:68 ROSEMARY LN
Mailing Address - Street 2:
Mailing Address - City:CENTEREACH
Mailing Address - State:NY
Mailing Address - Zip Code:11720-4412
Mailing Address - Country:US
Mailing Address - Phone:631-875-9265
Mailing Address - Fax:
Practice Address - Street 1:68 ROSEMARY LN
Practice Address - Street 2:
Practice Address - City:CENTEREACH
Practice Address - State:NY
Practice Address - Zip Code:11720-4412
Practice Address - Country:US
Practice Address - Phone:631-875-9265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY595337163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse