Individual provider · Type 1 NPI

Mallory Supley

Licensed Practical Nurse · Saranac Lake, NY

NPI number 1144861089 Active

Practice location

70 Edgewood Rd
Saranac Lake, NY 12983-1537

Call (518) 891-5535 Map

Mailing address

PO Box 234
Cadyville, NY 12918-0234

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X303566 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1144861089

Mallory Supley's National Provider Identifier is 1144861089, issued on Oct 2, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Saranac Lake, NY. The record was last updated on Oct 2, 2019.