MR. MARY KATHERINE VANLIESHOUT RN NPI 1134361942

NPI Information

  • NPI: 1134361942
  • Provider Name: MR. MARY KATHERINE VANLIESHOUT, RN
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 201 CEDAR ST
    ONEIDA, NY
    ZIP 13421
  • Phone: (315) 361-8413

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NPI Details

MR. Mary Katherine Vanlieshout, RN is a psychiatric/mental health registered nurse in Oneida, NY. MR. Mary Katherine Vanlieshout, RN NPI is 1134361942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

201 CEDAR ST
ONEIDA, NY
ZIP 13421-111
Phone: (315) 361-8413

The enumeration date for this NPI number is 3/26/2009 and was last updated on 3/26/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health242891-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100569860MEDICAIDNEW YORK
2536220MEDICARE PINNEW YORK
31689780546MEDICARE NSCNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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