Alyssa Michelle Clement, LPN
Individual provider Active NPI Licensed Practical Nurse · Walworth, NY
NPI 1427767490 · NPPES record last updated Nov 18, 2022
Key facts
- NPI
- 1427767490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 337402 (NY)
- Practice address
- 1500 Dayspring RDG
Walworth, NY 14568-9517 - Phone
- (315) 986-3521
- NPI assigned
- Nov 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gananda Central School District | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 337402 | NY | Yes |
Addresses
Primary practice location
1500 Dayspring RDG
Walworth, NY 14568-9517
Mailing address
1500 Dayspring RDG
Walworth, NY 14568-9517
Other names
- Alyssa Michelle Locke
Other providers in Walworth, NY
- Paige L Buckner
- Sandra Buskey
- Jessica Amanda Carrier
- Joyce Mary Catalano
- Keri Lee Christensen
- Stephanie Clintsman
- Jennifer Patrice Cotterman
- Nicole Crosby
- Dr. John Anthony Guerrieri
- Stephanie Anne Drake
All providers in Walworth, 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 Nov 18, 2022. 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.