Michele Mary Vanderhoof, LPN

Individual provider Active NPI Licensed Practical Nurse · Verona, NY

NPI 1003318239 · NPPES record last updated Mar 4, 2018

Key facts

NPI
1003318239
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
315193-1 (NY)
Practice address
4835 Old Oneida Rd
Verona, NY 13478-2111
Phone
(315) 361-0155
NPI assigned
Mar 4, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
315193-1NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
164W00000X 315193-1 NY Yes

Addresses

Primary practice location

4835 Old Oneida Rd
Verona, NY 13478-2111

Mailing address

4835 Old Oneida Rd
Verona, NY 13478-2111
Phone (315) 361-0155

Other providers in Verona, NY

All providers in Verona, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.