Individual provider · Type 1 NPI

Mary Beth Kettyle, RN

Registered Nurse · New York, NY

NPI number 1942557798 Active

Practice location

122 E 23rd St
New York, NY 10010-4516

Call (212) 677-7400 Map

Mailing address

185 Burke Ave Ste A
Staten Island, NY 10314-4743

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	650858-1 (NY)
Registered Nurse	163W00000X	RN 9293191 (FL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1942557798

Mary Beth Kettyle, RN's National Provider Identifier is 1942557798, issued on Aug 11, 2012. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in New York, NY. The record was last updated on Aug 11, 2012.