Individual provider · Type 1 NPI

Mary Lee Revill-Allen

Licensed Practical Nurse · Utica, NY

NPI number 1659102135 Active

Practice location

40 Van Vorst St
Utica, NY 13501-5729

Call (315) 886-0094 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X309041-01 (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 1659102135

Mary Lee Revill-Allen's National Provider Identifier is 1659102135, issued on Aug 8, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Utica, NY. The record was last updated on Apr 9, 2025.