Eleanor Mae Reynolds in Champlain - Licensed Practical Nurse

Eleanor Mae Reynolds - NPI 1750414611

Eleanor Mae Reynolds is a Licensed Practical Nurse in Champlain, New York. Eleanor Mae Reynolds practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Eleanor Mae Reynolds is 1750414611. The last update date is 2007-07-08.

Eleanor Mae Reynolds's current location address is 246 Mason Rd, Champlain, New York. You can contact this provider via phone number 5182988554. The mailing address for Eleanor Mae Reynolds is 246 Mason Rd, Champlain, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Eleanor Mae Reynolds
Address 246 Mason Rd, Champlain, New York
Phone Number 5182988554
Fax Number
Sole Proprietor N
Credentials LPN

NPI Number Detail

NPI Number 1750414611
Provider Enumeration Date 2007-03-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 246 Mason Rd
City Champlain
State New York (NY)
Post Code 129196202
Phone Number 5182988554
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 090251-1
Definition:
An individual 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 r

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2755902 NY --

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FAQs about Eleanor Mae Reynolds

What is the unique 10-digit identification code issued to Eleanor Mae Reynolds by the Centers for Medicare & Medicaid Services?

The Eleanor Mae Reynolds has been assigned the NPI (National Provider Identifier) 1750414611 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Eleanor Mae Reynolds is geographically located?

The Eleanor Mae Reynolds is physically situated at the following location: 246 Mason Rd, Champlain, NY, 129196202.

What is the Eleanor Mae Reynolds's area of specialization and corresponding taxonomy classification?

The Eleanor Mae Reynolds's specialty field is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1750414611 assigned to Eleanor Mae Reynolds?

The Eleanor Mae Reynolds was issued its 1750414611 on 2007-03-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Eleanor Mae Reynolds's details last updated?

The information pertaining to the Eleanor Mae Reynolds, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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