Provider Demographics
NPI:1669018800
Name:MAERZ, DEBBIE SUE
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:SUE
Last Name:MAERZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VESTAL CENTRAL SCHOOL DISTRICT
Mailing Address - Street 2:201 MAIN STREET
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:VESTAL HILLS ELEMENTARY SCHOOL
Practice Address - Street 2:709 COUNTRY CLUB ROAD
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850
Practice Address - Country:US
Practice Address - Phone:607-757-2256
Practice Address - Fax:607-757-3754
Is Sole Proprietor?:No
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY347780-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool