Dawn Deeter
Individual provider Active NPI Licensed Practical Nurse · Savona, NY
NPI 1487961728 · NPPES record last updated Sep 8, 2010
Key facts
- NPI
- 1487961728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 296594-1 (NY)
- Practice address
- 105 E Lamoka Ave
Unit C
Savona, NY 14879-9714 - Phone
- (607) 329-1019
- NPI assigned
- Sep 8, 2010
- 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 |
|---|---|---|---|
| 296594-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 296594-1 | NY | Yes |
Addresses
Primary practice location
105 E Lamoka Ave
Unit C
Savona, NY 14879-9714
Mailing address
105 E Lamoka Ave
Unit C
Savona, NY 14879-9714
Other providers in Savona, NY
- Susan Bartholomew
- Katrina Fellows
- Theresa Louise Fish
- Jill Christine Guyette
- Laurie Harrian
- Cindy Lynn Hayes
All providers in Savona, 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 Sep 8, 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.