La'Tosha Powell
Individual provider Active NPI Licensed Practical Nurse · Haverstraw, NY
NPI 1124417530 · NPPES record last updated Jan 22, 2015
Key facts
- NPI
- 1124417530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 304405 (NY)
- Practice address
- 74 Sharp St
Haverstraw, NY 10927-1520 - Phone
- (845) 200-6369
- NPI assigned
- Jan 22, 2015
- 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 | 304405 | NY | Yes |
Addresses
Primary practice location
74 Sharp St
Haverstraw, NY 10927-1520
Mailing address
74 Sharp St
Haverstraw, NY 10927-1520
Phone (845) 200-6369
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All providers in Haverstraw, 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 22, 2015. 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.