Provider Demographics
NPI:1497129621
Name:CAHOON, MARIE LYNN (LPN)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:LYNN
Last Name:CAHOON
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 1:600 LINDELL BLVD
Mailing Address - Street 2:APT 118B
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-1907
Mailing Address - Country:US
Mailing Address - Phone:386-627-0064
Mailing Address - Fax:
Practice Address - Street 1:600 LINDELL BLVD
Practice Address - Street 2:APT 118B
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-1907
Practice Address - Country:US
Practice Address - Phone:386-627-0064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-27
Last Update Date:2015-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5197776164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse