Individual
MARIJKE B ORMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2233 STATE ROUTE 86, SARANAC LAKE, NY 12983-5644
(518) 891-4141
(518) 897-2788
Mailing address
173 KIWASSA RD, SARANAC LAKE, NY 12983-2356
(518) 891-0078
(518) 897-2423
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304917
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00363213
—
NY
01
—
1245446533
GROUP NPI
NY
01
—
141731786
TAX ID
NY
Enumeration date
09/23/2008
Last updated
10/06/2008
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