Kaleanna A Weatherup-Otero in Theresa - Licensed Practical Nurse

Kaleanna A Weatherup-Otero - NPI 1497823389

Kaleanna A Weatherup-Otero is a Licensed Practical Nurse in Theresa, New York. Kaleanna A Weatherup-Otero practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Kaleanna A Weatherup-Otero is 1497823389. The last update date is 2007-07-09.

Kaleanna A Weatherup-Otero's current location address is 219 Pine St, Theresa, New York. You can contact this provider via phone number 3156284214 and fax number 3156284214. The mailing address for Kaleanna A Weatherup-Otero is 219 Pine St, Theresa, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Kaleanna A Weatherup-Otero
Address 219 Pine St, Theresa, New York
Phone Number 3156284214
Fax Number 3156284214
Sole Proprietor Y
Credentials LPN

NPI Number Detail

NPI Number 1497823389
Provider Enumeration Date 2006-12-01
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 219 Pine St
City Theresa
State New York (NY)
Post Code 136912103
Phone Number 3156284214
Fax Number 3156284214

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 265843
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
2168183 NY --

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FAQs about Kaleanna A Weatherup-Otero

What is the Kaleanna A Weatherup-Otero's 1497823389?

The Kaleanna A Weatherup-Otero's NPI (National Provider Identifier) Number is 1497823389. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kaleanna A Weatherup-Otero is geographically located?

The Kaleanna A Weatherup-Otero is physically situated at the following location: 219 Pine St, Theresa, NY, 136912103.

What is Kaleanna A Weatherup-Otero'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 Kaleanna A Weatherup-Otero is Licensed Practical Nurse, and the taxonomy classification code that categorizes this area of expertise is 164W00000X.

On what date was the 1497823389 assigned to Kaleanna A Weatherup-Otero?

The Kaleanna A Weatherup-Otero was issued its 1497823389 on 2006-12-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kaleanna A Weatherup-Otero, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kaleanna A Weatherup-Otero, 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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