Organization
MARAVILLA, N.P. IN ADULT HEALTH P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN MICHELLE LEMARIE NURSE PRACTITIONER (OWNER)
(914) 448-3680
Entity
Organization
Contact information
Practice address
409 NORTH BROADWAY, APT#39, YONKERS, NY 10701
(914) 448-3680
Mailing address
7 ODELL PLZ, YONKERS, NY 10701-1407
(914) 448-3680
(914) 222-8866
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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