Provider Demographics
NPI:1760749550
Name:LA PLANTE, MARCIE LYNN (RN)
Entity Type:Individual
Prefix:
First Name:MARCIE
Middle Name:LYNN
Last Name:LA PLANTE
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 1:2941 AMSTERDAM RD
Mailing Address - Street 2:LOT 11
Mailing Address - City:SCOTIA
Mailing Address - State:NY
Mailing Address - Zip Code:12302-6340
Mailing Address - Country:US
Mailing Address - Phone:518-847-3267
Mailing Address - Fax:518-464-6393
Practice Address - Street 1:2941 AMSTERDAM RD
Practice Address - Street 2:LOT 11
Practice Address - City:SCOTIA
Practice Address - State:NY
Practice Address - Zip Code:12302-6340
Practice Address - Country:US
Practice Address - Phone:518-847-3267
Practice Address - Fax:518-464-6393
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY526877163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse