Individual
MARTHA LYNN VANYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 CHURCH ST, SARATOGA SPRINGS, NY 12866-1090
(518) 587-3222
Mailing address
211 CHURCH ST, SARATOGA SPRINGS, NY 12866-1090
(518) 587-3222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
564450-01
NY
163WS0200X
School Registered Nurse
564450
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403518
NY
Other
Enumeration date
05/25/2021
Last updated
06/28/2021
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