Michele Lynne Weldon, LPN
Individual provider Active NPI Licensed Practical Nurse · Cayuga, NY
NPI 1003063041 · NPPES record last updated Aug 21, 2008
Key facts
- NPI
- 1003063041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 255723-1 (NY)
- Practice address
- 976 Conners Rd
Cayuga, NY 13034-2133 - Phone
- (315) 889-7112
- NPI assigned
- Aug 21, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 255723-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 255723-1 | NY | Yes |
Addresses
Primary practice location
976 Conners Rd
Cayuga, NY 13034-2133
Mailing address
976 Conners Rd
Cayuga, NY 13034-2133
Phone (315) 889-7112
Other names
- Mrs. Michele Lynne Clark/Schmutzler
Other providers in Cayuga, NY
- Andrew Hatalla
- Hoskins Nutrition Counseling P.L.L.C.
- Elizabeth Hoskins
- Cynthia Ann Nixon
- Edith Resnik
All providers in Cayuga, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.