Provider Demographics
NPI:1629371208
Name:MARLEAU, MARIE FLORENCE (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:FLORENCE
Last Name:MARLEAU
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 1:803 STATE ROUTE 44 55
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-2271
Mailing Address - Country:US
Mailing Address - Phone:845-883-9680
Mailing Address - Fax:
Practice Address - Street 1:803 STATE ROUTE 44 55
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-2271
Practice Address - Country:US
Practice Address - Phone:845-883-9680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY636087163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse