Individual
MS. MARILYN ANNE VONDOLLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MS,NPP
Contact information
Practice address
321 BROADWAY, RENSSELAER, NY 12144-2602
(518) 453-2280
(518) 453-2282
Mailing address
321 BROADWAY, RENSSELAER, NY 12144-2602
(518) 453-2280
(518) 453-2282
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400457-1
NY
Other
Enumeration date
11/21/2006
Last updated
10/07/2024
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