Individual provider · Type 1 NPI

Mayobanex Wentworth

School Registered Nurse · Middle Island, NY

NPI number 1710602198 Active

Practice location

35 Longwood Rd
Middle Island, NY 11953-2045

Mailing address

PO Box 12
Middle Island, NY 11953-0012

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200X620738-1 (NY)

School Registered Nurse: Definition to come...

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About NPI 1710602198

Mayobanex Wentworth's National Provider Identifier is 1710602198, issued on Oct 7, 2022. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Middle Island, NY. The record was last updated on Oct 7, 2022.