Provider Demographics
NPI:1437305711
Name:POWER, MARY ANNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARY ANNE
Middle Name:
Last Name:POWER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:MARY ANNE
Other - Middle Name:
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1 LEO MOSS DR
Mailing Address - Street 2:SUITE 4010
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-1100
Mailing Address - Country:US
Mailing Address - Phone:716-373-8050
Mailing Address - Fax:716-701-3737
Practice Address - Street 1:1 LEO MOSS DR
Practice Address - Street 2:SUITE 4010
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-1100
Practice Address - Country:US
Practice Address - Phone:716-373-8050
Practice Address - Fax:716-701-3737
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY169077163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health