Individual provider · Type 1 NPI
Mary Elizabeth Macblane, PNP
Pediatric Registered Nurse · Syracuse, NY
NPI number
1184726341
Active
Practice location
750 E Adams St, Pediatrics
Syracuse, NY 13210-2306
Fax (315) 464-6398
Mailing address
5235 Bear Rd
North Syracuse, NY 13212-1213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 325340-1 (NY) |
| Pediatric Nurse Practitioner | 363LP0200X | F380760-1 (NY) |
Pediatric Registered Nurse: Definition to come...
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About NPI 1184726341
Mary Elizabeth Macblane, PNP's National Provider Identifier is 1184726341, issued on Sep 1, 2006. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Syracuse, NY. The record was last updated on Sep 11, 2025.