Ivette Owney, LPN
Individual provider Active NPI Licensed Practical Nurse · Westtown, NY
NPI 1376980490 · NPPES record last updated May 30, 2013
Key facts
- NPI
- 1376980490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 290765 (NY)
- Practice address
- 312 Ridge Rd
Westtown, NY 10998-2605 - Phone
- (845) 683-1184
- NPI assigned
- May 30, 2013
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290765 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 290765 | NY | Yes |
Addresses
Primary practice location
312 Ridge Rd
Westtown, NY 10998-2605
Mailing address
312 Ridge Rd
Westtown, NY 10998-2605
Phone (845) 683-1184
Other providers in Westtown, NY
- Stephanie Madison
- Audra Mancuso
- Susan Marchione
- Sharon Marie McGiffert
- Peter Dmytri Olenen
- Ajay M Patel
- Amy Pendl
- Jennifer A Pierce
- Joanne Scialabba
- Melissa Smith
All providers in Westtown, 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 30, 2013. 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.