Provider Demographics
NPI:1922856996
Name:STMARY, DANNI-ANN HARRIET (LPN/RN)
Entity type:Individual
Prefix:
First Name:DANNI-ANN
Middle Name:HARRIET
Last Name:STMARY
Suffix:
Gender:F
Credentials:LPN/RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:MALONE
Mailing Address - State:NY
Mailing Address - Zip Code:12953-2001
Mailing Address - Country:US
Mailing Address - Phone:518-353-9829
Mailing Address - Fax:
Practice Address - Street 1:31 6TH ST # A
Practice Address - Street 2:
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-1246
Practice Address - Country:US
Practice Address - Phone:518-483-3261
Practice Address - Fax:518-483-3383
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-07
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY326868164W00000X
NM991534163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse