Dale Armetta Douglas in Chittenango - Licensed Practical Nurse
Dale Armetta Douglas - NPI 1639368640
Dale Armetta Douglas is a Licensed Practical Nurse in Chittenango, New York. Dale Armetta Douglas practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Dale Armetta Douglas is 1639368640. The last update date is 2007-10-16.
Dale Armetta Douglas's current location address is 130 Mallard Bay, Chittenango, New York. You can contact this provider via phone number 3156330136. The mailing address for Dale Armetta Douglas is 130 Mallard Bay, Chittenango, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Dale Armetta Douglas |
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Address | 130 Mallard Bay, Chittenango, New York |
Phone Number | 3156330136 |
Fax Number | |
Sole Proprietor | Y |
Credentials | L.P.N |
NPI Number Detail
NPI Number | 1639368640 |
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Provider Enumeration Date | 2007-10-16 |
Last Updated Date | 2007-10-16 |
Provider Mailing Address Detail
Address | 130 Mallard Bay |
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City | Chittenango |
State | New York (NY) |
Post Code | 130379553 |
Phone Number | 3156330136 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Licensed Practical Nurse |
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Taxonomy | 164W00000X |
Licence No | 118687 |
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 |
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2833356 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dale Armetta Douglas by the Centers for Medicare & Medicaid Services?
The Dale Armetta Douglas has been issued the NPI (National Provider Identifier) 1639368640 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Dale Armetta Douglas is physically located?
The Dale Armetta Douglas is physically situated at the following address: 130 Mallard Bay, Chittenango, NY, 130379553.
What is Dale Armetta Douglas's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dale Armetta Douglas is Licensed Practical Nurse, and the taxonomy classification code that categorizes this area of expertise is 164W00000X.
When did the Dale Armetta Douglas receive its 1639368640?
The Dale Armetta Douglas was issued its 1639368640 on 2007-10-16, which is the date when the organization was assigned this unique identifier.
When was the Dale Armetta Douglas's information last updated?
The Dale Armetta Douglas's information was last updated on 2007-10-16.