Provider Demographics
NPI:1871016782
Name:AUPONT, MARIE ANGE (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:ANGE
Last Name:AUPONT
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 1:24 DENISE ST
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-4319
Mailing Address - Country:US
Mailing Address - Phone:516-330-7059
Mailing Address - Fax:516-797-5227
Practice Address - Street 1:24 DENISE ST
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-4319
Practice Address - Country:US
Practice Address - Phone:516-330-7059
Practice Address - Fax:516-797-5227
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY428587-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse