Marilyn A Vondollen


Address: 321 Broadway, Rensselaer, NY 12144-2602

Marilyn A Vondollen (NPI# 1801961669, PAC ID# 3678552031) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1801961669
PAC ID by PECOS 3678552031
Professional Enrollment ID I20040719000666
Full Name Marilyn A Vondollen
Address 321 Broadway
Rensselaer
NY 12144-2602
Gender F
Credential NP
Graduation Year 1998
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
321 Broadway, Rensselaer, NY 12144-2602

Organization Information

Office Location

Street Address 321 BROADWAY
City RENSSELAER
State NY
Zip 12144-2602

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Competitor

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City RENSSELAER
Zip Code 12144
Specialty NURSE PRACTITIONER
City + Specialty RENSSELAER + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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