Provider Demographics
NPI:1891070272
Name:HOBBY, MERRIANN MILLER (RN)
Entity Type:Individual
Prefix:MRS
First Name:MERRIANN
Middle Name:MILLER
Last Name:HOBBY
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:PO BOX 124
Mailing Address - Street 2:
Mailing Address - City:FALLSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:12733-0124
Mailing Address - Country:US
Mailing Address - Phone:845-434-4110
Mailing Address - Fax:845-434-0871
Practice Address - Street 1:15 OLD FALLS RD
Practice Address - Street 2:
Practice Address - City:FALLSBURG
Practice Address - State:NY
Practice Address - Zip Code:12733-5505
Practice Address - Country:US
Practice Address - Phone:845-434-4110
Practice Address - Fax:845-434-0871
Is Sole Proprietor?:No
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309943-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool