Provider Demographics
NPI:1891116877
Name:SCHLUSSER, MARYELLEN MARYGARET (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARYELLEN
Middle Name:MARYGARET
Last Name:SCHLUSSER
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 1:30 MAJOR MACDONALD WAY
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-3748
Mailing Address - Country:US
Mailing Address - Phone:845-298-5200
Mailing Address - Fax:
Practice Address - Street 1:30 MAJOR MACDONALD WAY
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-3748
Practice Address - Country:US
Practice Address - Phone:845-298-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY458523-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool