Tina L Walrath in Gouverneur - Licensed Practical Nurse

Tina L Walrath - NPI 1780733311

Tina L Walrath is a Licensed Practical Nurse in Gouverneur, New York. Tina L Walrath practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Tina L Walrath is 1780733311. The last update date is 2007-07-09.

Tina L Walrath's current location address is 100 Hailesboro St, Gouverneur, New York. You can contact this provider via phone number 3152870564. The mailing address for Tina L Walrath is 100 Hailesboro St, Gouverneur, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Tina L Walrath
Address 100 Hailesboro St, Gouverneur, New York
Phone Number 3152870564
Fax Number
Sole Proprietor Y
Credentials LPN

NPI Number Detail

NPI Number 1780733311
Provider Enumeration Date 2007-01-10
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 100 Hailesboro St
City Gouverneur
State New York (NY)
Post Code 136421608
Phone Number 3152870564
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 273662
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
2549237 NY --

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FAQs about Tina L Walrath

What is the unique 10-digit identifier code assigned to Tina L Walrath by the Centers for Medicare & Medicaid Services?

The Tina L Walrath has been issued the NPI (National Provider Identifier) 1780733311 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 Tina L Walrath is physically located?

The Tina L Walrath is physically situated at the following address: 100 Hailesboro St, Gouverneur, NY, 136421608.

What is Tina L Walrath's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Tina L Walrath is Licensed Practical Nurse, and the taxonomy code that categorizes this field of expertise is 164W00000X.

When did Tina L Walrath receive its 1780733311 assignment?

The Tina L Walrath was assigned its 1780733311 on 2007-01-10, which is the date when this unique identifier was issued to the organization.

When was the information regarding Tina L Walrath, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Tina L Walrath, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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