Provider Demographics
NPI:1730327990
Name:AINE, MARCELLE (LPN)
Entity type:Individual
Prefix:MS
First Name:MARCELLE
Middle Name:
Last Name:AINE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:MARCELLE
Other - Middle Name:
Other - Last Name:AINE-THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:52 SPRING VALLEY COMMONS
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20 OLD TURNPIKE RD
Practice Address - Street 2:ACUCARE NURSING & HOME CARE STE 105
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2532
Practice Address - Country:US
Practice Address - Phone:845-624-0264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY292412 01164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse