Provider Demographics
NPI:1942564513
Name:MERTENS, DONNALYN MARY (RN)
Entity Type:Individual
Prefix:MS
First Name:DONNALYN
Middle Name:MARY
Last Name:MERTENS
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 1:1A JAMES CT
Mailing Address - Street 2:
Mailing Address - City:GANSEVOORT
Mailing Address - State:NY
Mailing Address - Zip Code:12831-2338
Mailing Address - Country:US
Mailing Address - Phone:518-306-6638
Mailing Address - Fax:
Practice Address - Street 1:31 WOODLAWN AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA SPGS
Practice Address - State:NY
Practice Address - Zip Code:12866-2162
Practice Address - Country:US
Practice Address - Phone:518-584-7460
Practice Address - Fax:518-583-2498
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator