MS. MARIE KETTLIE MARDY
NPI 1639422694
Licensed Practical Nurse in Brooklyn, NY

Q: What is Marie Mardy's NPI number?

The NPI number for Marie Mardy is 1639422694. It was assigned to this individual provider in the NPPES registry on October 16, 2012.

Q: What is Marie Mardy's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Marie Mardy was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 16, 2012

1299 OCEAN AVE APT 5H, BROOKLYN, NY 11230(718) 844-7179 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Marie Kettlie Mardy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARIE KETTLIE MARDY (NPI 1639422694) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (310952-1) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1639422694

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. MARIE KETTLIE MARDY

Location Address1299 OCEAN AVE APT 5HBrooklyn, NY 11230-2537

Mailing Address1299 Ocean Ave Apt 5hBrooklyn, NY 11230-2537 · (718) 844-7179

Phone(718) 844-7179

Sole ProprietorYes

Enumeration DateOctober 16, 2012

✔ NPI 1639422694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 310952-1

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1299 OCEAN AVE APT 5H, Brooklyn, NY 11230

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marie Mardy's NPI number?

The NPI number for Marie Mardy is 1639422694. It was assigned to this individual provider in the NPPES registry on October 16, 2012.

Where is Marie Mardy located?

Marie Mardy practices at 1299 Ocean Ave Apt 5H, Brooklyn, NY 11230. The listed phone number is (718) 844-7179.

What is Marie Mardy's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Marie Mardy was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.