Betty Wheeler Dejaiffe, LPN
Individual provider Active NPI Licensed Practical Nurse · Addison, NY
NPI 1053185033 · NPPES record last updated Nov 10, 2023
Key facts
- NPI
- 1053185033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 315365 (NY)
- Practice address
- 5 Nichols Rd Unit 300
Addison, NY 14801-1037 - Phone
- (607) 590-8936
- NPI assigned
- Nov 10, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse |
164W00000X | 315365 | NY | Yes |
Addresses
Primary practice location
5 Nichols Rd Unit 300
Addison, NY 14801-1037
Mailing address
5 Nichols Rd
Addison, NY 14801-1037
Phone (607) 590-8936
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- Jessica Dgien
- Michael F Ferchaw
- Lisa Ann Foster
- Jessica L Hand
- Melanie Lynn Hanrahan
All providers in Addison, 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 Nov 10, 2023. 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.