Lisa M Proulx is a Registered Nurse in Fort Drum, New York. Lisa M Proulx practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Lisa M Proulx is 1568478253. The last update date is 2018-06-20.
Lisa M Proulx's current location address is 11050 Mount Belvedere Blvd, Fort Drum, New York. You can contact this provider via phone number 3157745596 and fax number 3159657303. The mailing address for Lisa M Proulx is 11050 Mount Belvedere Blvd, Fort Drum, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa M Proulx |
|---|---|
| Address | 11050 Mount Belvedere Blvd, Fort Drum, New York |
| Phone Number | 3157745596 |
| Fax Number | 3159657303 |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1568478253 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2018-06-20 |
Provider Mailing Address Detail
| Address | 11050 Mount Belvedere Blvd |
|---|---|
| City | Fort Drum |
| State | New York (NY) |
| Post Code | 136025438 |
| Phone Number | 3157745596 |
| Fax Number | 3159657303 |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | 696332 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Post Comment/ Review Below
What is the unique identifier code issued to Lisa M Proulx by the Centers for Medicare & Medicaid Services?
The Lisa M Proulx has been assigned the NPI (National Provider Identifier) 1568478253. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lisa M Proulx?
The Lisa M Proulx is physically situated at 11050 Mount Belvedere Blvd, in the city of Fort Drum, state of NY, with the postal code 136025438.
What is the Lisa M Proulx's specialty and taxonomy code?
The Lisa M Proulx's specialty is Registered Nurse, and the corresponding taxonomy code is 163W00000X.
On what date did the Lisa M Proulx receive the assignment of its 1568478253 from the Centers for Medicare & Medicaid Services?
The Lisa M Proulx was issued its 1568478253 by the Centers for Medicare & Medicaid Services on 2006-08-01.
When was the information related to Lisa M Proulx most recently updated or refreshed?
The details pertaining to the Lisa M Proulx, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-06-20.