Provider Demographics
NPI:1841330818
Name:KEHOE, MARYANNE HIDALGO (FNP)
Entity type:Individual
Prefix:MS
First Name:MARYANNE
Middle Name:HIDALGO
Last Name:KEHOE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:207 SCHWEITZER RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13807-1156
Mailing Address - Country:US
Mailing Address - Phone:607-293-7987
Mailing Address - Fax:
Practice Address - Street 1:1 BIRCHWOOD DR.
Practice Address - Street 2:CATSKILL AREA HOSPICE AND PALLIATIVE CARE
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820
Practice Address - Country:US
Practice Address - Phone:607-432-6773
Practice Address - Fax:607-432-7741
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330361-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily