Individual provider · Type 1 NPI

Mary Roller, LPN

Licensed Practical Nurse · Cheektowaga, NY

NPI number 1790924736 Active

Practice location

1680 Walden Ave
Cheektowaga, NY 14225-4914

Fax (716) 894-0604

Mailing address

PO Box 197
Ashville, NY 14710-0197

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X194815 (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 1790924736

Mary Roller, LPN's National Provider Identifier is 1790924736, issued on Feb 16, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cheektowaga, NY. The record was last updated on Feb 16, 2009.