Willa Marie Huntington, NURSE LPN
Individual provider Active NPI Licensed Practical Nurse · Ticonderoga, NY
NPI 1295054146 · NPPES record last updated May 18, 2010
Key facts
- NPI
- 1295054146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 270460-1 (NY)
- Practice address
- 53 Defiance St
Ticonderoga, NY 12883-1405 - Phone
- (518) 585-6042
- NPI assigned
- May 18, 2010
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270460-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 270460-1 | NY | Yes |
Addresses
Primary practice location
53 Defiance St
Ticonderoga, NY 12883-1405
Mailing address
53 Defiance St
Ticonderoga, NY 12883-1405
Phone (518) 585-6042
Other providers in Ticonderoga, NY
- Susan Hoilund
- Hudson Headwaters Health Network
- Hudson Headwaters Health Network
- Hudson Headwaters Health Network
- Kathleen P Huestis
- Inter Lakes Medical Supply Inc
- Richard M Jack
- James Edward Kelly Jr.
- Anne Kuhl
- Lacey J Lacourse
All providers in Ticonderoga, 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 May 18, 2010. 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.