Provider Demographics
NPI:1366776643
Name:YENEI, MARLENE A (RN)
Entity type:Individual
Prefix:
First Name:MARLENE
Middle Name:A
Last Name:YENEI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7437 QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:SODUS
Mailing Address - State:NY
Mailing Address - Zip Code:14551-9545
Mailing Address - Country:US
Mailing Address - Phone:315-573-1921
Mailing Address - Fax:
Practice Address - Street 1:7437 QUARRY RD
Practice Address - Street 2:
Practice Address - City:SODUS
Practice Address - State:NY
Practice Address - Zip Code:14551-9545
Practice Address - Country:US
Practice Address - Phone:315-573-1921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-20
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4929659163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse