Provider Demographics
NPI:1669783031
Name:SPENSIERI, MARYKATHERINE (RN)
Entity type:Individual
Prefix:MRS
First Name:MARYKATHERINE
Middle Name:
Last Name:SPENSIERI
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 1:7864 HICKS RD.
Mailing Address - Street 2:PALMER ELEMENTARY SCHOOL
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027
Mailing Address - Country:US
Mailing Address - Phone:315-638-6129
Mailing Address - Fax:315-638-6275
Practice Address - Street 1:7864 HICKS RD
Practice Address - Street 2:
Practice Address - City:BALDWINSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13027-8422
Practice Address - Country:US
Practice Address - Phone:315-638-6129
Practice Address - Fax:315-638-6275
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337085-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool