Judy Ann White Brassard in Mineville - Licensed Practical Nurse

Judy Ann White Brassard - NPI 1003013434

Judy Ann White Brassard is a Licensed Practical Nurse in Mineville, New York. Judy Ann White Brassard practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Judy Ann White Brassard is 1003013434. The last update date is 2007-11-27.

Judy Ann White Brassard's current location address is Po Box 177, Mineville, New York. You can contact this provider via phone number 5189427753. The mailing address for Judy Ann White Brassard is Po Box 177, Mineville, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Judy Ann White Brassard
Address Po Box 177, Mineville, New York
Phone Number 5189427753
Fax Number
Sole Proprietor Y
Credentials L.P.N

NPI Number Detail

NPI Number 1003013434
Provider Enumeration Date 2007-06-29
Last Updated Date 2007-11-27

Provider Mailing Address Detail

Address Po Box 177
City Mineville
State New York (NY)
Post Code 129560177
Phone Number 5189427753
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 063093-1
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
2822104 NY --

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FAQs about Judy Ann White Brassard

What is the unique 10-digit identifier code assigned to Judy Ann White Brassard by the Centers for Medicare & Medicaid Services?

The Judy Ann White Brassard has been issued the NPI (National Provider Identifier) 1003013434 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Judy Ann White Brassard is geographically located?

The Judy Ann White Brassard is physically situated at the following location: Po Box 177, Mineville, NY, 129560177.

What is Judy Ann White Brassard's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Judy Ann White Brassard is Licensed Practical Nurse, and the corresponding taxonomy classification code for this specialized field is 164W00000X.

When was the Judy Ann White Brassard's 1003013434 issued?

The Judy Ann White Brassard's 1003013434 was issued on 2007-06-29.

When was the information pertaining to Judy Ann White Brassard most recently updated or revised?

The details related to Judy Ann White Brassard, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-27.

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