Monica Robinson

Individual provider Active NPI Licensed Practical Nurse · Waverly, NY

NPI 1609443282 · NPPES record last updated Jun 10, 2021

Key facts

NPI
1609443282
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
340757-01 (NY)
Practice address
445 County Road 60
Waverly, NY 14892-9829
Phone
(607) 425-1433
NPI assigned
Jun 10, 2021
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

LicenseStateTypeSpecialty
340757-01NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
164W00000X 340757-01 NY Yes

Addresses

Primary practice location

445 County Road 60
Waverly, NY 14892-9829

Mailing address

445 County Road 60
Waverly, NY 14892-9829
Phone (607) 425-1433

Other providers in Waverly, NY

All providers in Waverly, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.