Provider Demographics
NPI:1003067992
Name:MENARDY MAGLOIRE, MARJORIE (NP)
Entity type:Individual
Prefix:MRS
First Name:MARJORIE
Middle Name:
Last Name:MENARDY MAGLOIRE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:MARJORIE
Other - Middle Name:
Other - Last Name:MAGLOIRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:33 COUNTY HIGHWAY 16
Mailing Address - Street 2:
Mailing Address - City:DELHI
Mailing Address - State:NY
Mailing Address - Zip Code:13753-3162
Mailing Address - Country:US
Mailing Address - Phone:607-865-2400
Mailing Address - Fax:607-374-1472
Practice Address - Street 1:2 TITUS PL
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:NY
Practice Address - Zip Code:13856-1455
Practice Address - Country:US
Practice Address - Phone:607-865-2400
Practice Address - Fax:607-374-1472
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY407253363L00000X
TN26743363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health