Individual provider · Type 1 NPI

Maryjanine T. Hausle, FNP

Family Nurse Practitioner · Manorville, NY

NPI number 1902115603 Active

Practice location

12 Pidgeon Ct
Manorville, NY 11949-2618

Call (631) 588-4810 Map

Fax (631) 588-4810

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X336000 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1902115603

Maryjanine T. Hausle, FNP's National Provider Identifier is 1902115603, issued on Sep 28, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Manorville, NY. The record was last updated on Sep 28, 2010.