Elyse Catlin, RN
Individual provider Active NPI Registered Nurse · Brockport, NY
NPI 1346601564 · NPPES record last updated Mar 15, 2016
Key facts
- NPI
- 1346601564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 710371-1 (NY)
- Practice address
- 87 Crestview Dr
Brockport, NY 14420-2631 - Phone
- (716) 574-8271
- NPI assigned
- Mar 15, 2016
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 710371-1 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 710371-1 | NY | Yes |
Addresses
Primary practice location
87 Crestview Dr
Brockport, NY 14420-2631
Mailing address
87 Crestview Dr
Brockport, NY 14420-2631
Other providers in Brockport, NY
- Elizabeth S Caruso
- Melissa Carvin
- Leslie D Casey
- Bradley Casper
- Catherine E Newton, LCSW, LLC
- Cecil J Haggerty Jr MD PC
- Ya-Chen Chang
- Erin B Chapman
- Elizabeth Marie Chatelle
- Melessa Chatt
All providers in Brockport, NY · 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 Mar 15, 2016. 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.