1841330818 NPI number — MS. MARYANNE HIDALGO KEHOE FNP

Table of content: MS. MARYANNE HIDALGO KEHOE FNP (NPI 1841330818)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841330818 NPI number — MS. MARYANNE HIDALGO KEHOE FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KEHOE
Provider First Name:
MARYANNE
Provider Middle Name:
HIDALGO
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841330818
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
207 SCHWEITZER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILFORD
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13807-1156
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
607-293-7987
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 BIRCHWOOD DR.
Provider Second Line Business Practice Location Address:
CATSKILL AREA HOSPICE AND PALLIATIVE CARE
Provider Business Practice Location Address City Name:
ONEONTA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13820
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-432-6773
Provider Business Practice Location Address Fax Number:
607-432-7741
Provider Enumeration Date:
02/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  F330361-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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