Michele Ann Falletta, RN
Individual provider Active NPI Registered Nurse · Oakdale, NY
NPI 1215345541 · NPPES record last updated Sep 7, 2021
Key facts
- NPI
- 1215345541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 673618 (NY)
- Practice address
- 405 Locust Avenue
Oakdale, NY 11769 - Phone
- (631) 868-1244
- Fax
- (631) 567-1626
- NPI assigned
- Jul 30, 2014
- 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 |
|---|---|---|---|
| 673618 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 673618 | NY | Yes |
Addresses
Primary practice location
405 Locust Avenue
Oakdale, NY 11769
Mailing address
405 Locust Avenue
Oakdale, NY 11769
Phone (631) 868-1244
Other names
- Michele Ann Gauthier
Other providers in Oakdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2021. 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.