Individual
MARY ELLEN ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 SCHOOL DR, PENN YAN, NY 14527-1081
(315) 536-2331
(315) 279-1246
Mailing address
2064 TOWNSEND RD, PENN YAN, NY 14527-8711
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
644726-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01388403
—
NY
Enumeration date
03/10/2021
Last updated
03/10/2021
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