Provider Demographics
NPI:1972873131
Name:SKEEN, MARY CATHERINE (RN)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:CATHERINE
Last Name:SKEEN
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 1:48 KNOLLWOOD ROAD
Mailing Address - Street 2:P.O. BOX 351
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-2616
Mailing Address - Country:US
Mailing Address - Phone:845-871-5570
Mailing Address - Fax:845-876-4174
Practice Address - Street 1:48 KNOLLWOOD ROAD
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-2616
Practice Address - Country:US
Practice Address - Phone:845-871-5570
Practice Address - Fax:845-876-4174
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258247163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse