| Doctor Name: | MARIJKE B ORMEL |
| NPI Number: | 1053561381 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 304917 |
| Business Practice Address: | 2233 State Route 86 Saranac Lake, NY - 129835644 |
| Business Phone Number: | 5188914141 |
| Business Fax Number: | 5188972788 |
| Mailing Address: | 173 Kiwassa Rd, SARANAC LAKE |
| State: | NY |
| Postal Code: | 129832356 |
| Phone Number: | 5188910078 |
| Fax Number: | 5188972423 |
| NPI Enumeration Date: | 09/23/2008 |
| NPI Last Update Date: | 10/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 304917 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |