Deborah Jo Fell, LPN
Individual provider Active NPI Licensed Practical Nurse · Ontario, NY
NPI 1003980707 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1003980707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 221673 (NY)
- Practice address
- 7097 Ontario Center Rd
Ontario, NY 14519-9566 - Phone
- (315) 524-6694
- Fax
- (315) 524-6694
- NPI assigned
- Nov 17, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 221673 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 221673 | NY | Yes |
Addresses
Primary practice location
7097 Ontario Center Rd
Ontario, NY 14519-9566
Mailing address
7097 Ontario Center Rd
Ontario, NY 14519-9566
Phone (315) 524-6694
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01654535 | Medicaid | NY |
Other providers in Ontario, NY
- Pamela C Elsbree
- Anne Falen
- Family Health NP Immediate Care, PLLC
- Robin L Fedison
- Sheila Marie Fell-Loftus
- Katie Fenton
- Pamela Collins Ficarra
- Haley Flower
- Erica Forman
- Christina Marie Frederick
All providers in Ontario, 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 Jul 9, 2007. 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.