| Mrs Kathy Ann Mason-wagar, LPN | |
|
17400 Ny Highway 22, Cherry Plain, NY 12040 | |
| (518) 658-2515 | |
| (518) 658-0483 |
| Full Name | Mrs Kathy Ann Mason-wagar |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 17400 Ny Highway 22, Cherry Plain, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376829994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 115191 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kathy Ann Mason-wagar, LPN Po Box 259, Berlin, NY 12022-0259 Ph: (518) 658-2515 | Mrs Kathy Ann Mason-wagar, LPN 17400 Ny Highway 22, Cherry Plain, NY 12040 Ph: (518) 658-2515 |
Mrs. Kathleen E Smith, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 17400 Ny Highway 22, Cherry Plain, NY 12040 Phone: 518-658-2515 Fax: 518-658-0483 | |
Mrs. Dorothy Louise Stall, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 17400 Ny Highway 22, Cherry Plain, NY 12040 Phone: 518-658-2515 Fax: 518-658-0483 |