Individual provider · Type 1 NPI
Molleen M. Dematteo, RN
School Registered Nurse · Ithaca, NY
NPI number
1740539600
Active
Practice location
214 Elmira Rd
Ithaca, NY 14850-5302
Mailing address
101 Cedar Ln
Groton, NY 13073-1311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse Primary | 163WS0200X | 506075 (NY) |
School Registered Nurse: Definition to come...
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About NPI 1740539600
Molleen M. Dematteo, RN's National Provider Identifier is 1740539600, issued on Sep 6, 2012. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Ithaca, NY. The record was last updated on Sep 6, 2012.