Search › New York › 363LA2200X
Mary Vaillancourt, CRNP
NPI 1104290915 · on the registry since 2015
Practice
- Address
- 107 Institute St
Jamestown, NY 14701 - Phone
- (716) 484-4334
- Fax
- (833) 974-2029
- Organisation at this address
- The Chautauqua Center, Inc
The Chautauqua Center, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 50
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363L00000X
363LA2200X
363LG0600X
163W00000X
163W00000X - Licence states on file
- PA, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York