Provider Demographics
NPI:1891159810
Name:MAURER, JOSEPHINE MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:JOSEPHINE
Middle Name:MARIE
Last Name:MAURER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JOSEPHINE
Other - Middle Name:MARIE
Other - Last Name:NICOL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, PCCN
Mailing Address - Street 1:99 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901
Mailing Address - Country:US
Mailing Address - Phone:845-357-4500
Mailing Address - Fax:845-357-5039
Practice Address - Street 1:99 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901
Practice Address - Country:US
Practice Address - Phone:845-357-4500
Practice Address - Fax:845-357-5039
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY562917163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse