Individual
ANN MARIE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9 MYRTLE LN, EAST PATCHOGUE, NY 11772-5722
(631) 806-0119
Mailing address
9 MYRTLE LN, EAST PATCHOGUE, NY 11772-5722
(631) 806-0119
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
116124
NY
Other
Enumeration date
11/17/2012
Last updated
11/17/2012
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