Provider Demographics
NPI:1992132815
Name:MARBURGER, JULIE LYNNE (LPN)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:LYNNE
Last Name:MARBURGER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:LYNNE
Other - Last Name:SCHMEISER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:246 VAN TYNE RD
Mailing Address - Street 2:
Mailing Address - City:ACCORD
Mailing Address - State:NY
Mailing Address - Zip Code:12404
Mailing Address - Country:US
Mailing Address - Phone:845-588-0332
Mailing Address - Fax:
Practice Address - Street 1:246 VAN TYNE RD
Practice Address - Street 2:
Practice Address - City:ACCORD
Practice Address - State:NY
Practice Address - Zip Code:12404-6125
Practice Address - Country:US
Practice Address - Phone:845-588-0332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-09
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236175164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse