Provider Demographics
NPI:1417222449
Name:MCLAUGHLIN, MARIANNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARIANNE
Middle Name:
Last Name:MCLAUGHLIN
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 1:200 NEDRA PL
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-1736
Mailing Address - Country:US
Mailing Address - Phone:718-370-5744
Mailing Address - Fax:718-984-2324
Practice Address - Street 1:200 NEDRA PL
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-1736
Practice Address - Country:US
Practice Address - Phone:718-370-5744
Practice Address - Fax:718-984-2324
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY291191163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse