Provider Demographics
NPI:1497879928
Name:FLEMING, MARIANN ELIZABETH (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARIANN
Middle Name:ELIZABETH
Last Name:FLEMING
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 1:20 BUFFALO STREET
Mailing Address - Street 2:
Mailing Address - City:BERGEN
Mailing Address - State:NY
Mailing Address - Zip Code:14416
Mailing Address - Country:US
Mailing Address - Phone:585-494-1179
Mailing Address - Fax:
Practice Address - Street 1:20 BUFFALO STREET
Practice Address - Street 2:
Practice Address - City:BERGEN
Practice Address - State:NY
Practice Address - Zip Code:14416
Practice Address - Country:US
Practice Address - Phone:585-494-1179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY469415-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse