Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Lee Revill-Allen

Individual provider Licensed Practical Nurse · NPI 1659102135

Mary Lee Revill-Allen is a Licensed Practical Nurse in Utica, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

40 Van Vorst St
Utica, NY 13501-5729
Phone: (315) 886-0094
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 309041-01 (NY)

Record details

NPI number1659102135
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 8, 2024
Last updated in NPPESApril 9, 2025
Certification dateApril 8, 2025

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