Colleen Dagon Amidon, RN
Individual provider Active NPI School Registered Nurse · Hornell, NY
NPI 1164037230 · NPPES record last updated Sep 15, 2020
Key facts
- NPI
- 1164037230
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 637661 (NY)
- Practice address
- 134 Seneca St
Hornell, NY 14843-1324 - Phone
- (607) 324-1303
- Fax
- (607) 324-5325
- NPI assigned
- Sep 15, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 637661 | NY | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 637661 | NY | Yes |
Addresses
Primary practice location
134 Seneca St
Hornell, NY 14843-1324
Mailing address
134 Seneca St
Hornell, NY 14843-1324
Phone (607) 324-1303
Other providers in Hornell, NY
- Erica L Alger
- Allegany Ophthalmology, PLLC
- Shelli Altopp-Miller
- American Homecare Supply New York
- Carlie Rae Amidon
- Richard F Andolina Jr.
- Richard F. Andolina
- Andolinadental PC
- Adrian Ashdown
- Penny Ashton
All providers in Hornell, NY · School Registered 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 Sep 15, 2020. 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.