Michelle Lynn Vitoulis, LPN
Individual provider Active NPI Licensed Practical Nurse · Leeds, NY
NPI 1043784341 · NPPES record last updated Jan 20, 2019
Key facts
- NPI
- 1043784341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 226682-1 (NY)
- Practice address
- 1999 Route 67
Leeds, NY 12451-1133 - Phone
- (518) 929-7824
- NPI assigned
- Jan 20, 2019
- 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 |
|---|---|---|---|
| 226682-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 226682-1 | NY | Yes |
Addresses
Primary practice location
1999 Route 67
Leeds, NY 12451-1133
Mailing address
1999 Route 67
Leeds, NY 12451-1133
Phone (518) 929-7824
Other names
- Michelle Lynn Landers
Other providers in Leeds, NY
- Skyler Rose Kelly
- Jadee Lynn Kohler
- Deirdre T Lupoli
- Kaitlyn Rezny
- Donna Trunzo
- Susan Kim Wagar
- Mari L Warfel
- Michael Young
All providers in Leeds, 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 Jan 20, 2019. 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.