Nannette King, LPN
Individual provider Active NPI Licensed Practical Nurse · Scotchtown, NY
NPI 1639942873 · NPPES record last updated Oct 31, 2023
Key facts
- NPI
- 1639942873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 312774 (NY)
- Practice address
- 15 Fortune Rd W
Scotchtown, NY 10941-1625 - Phone
- (845) 372-7579
- NPI assigned
- Oct 31, 2023
- 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 |
|---|---|---|---|
| 312774 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 312774 | NY | Yes |
Addresses
Primary practice location
15 Fortune Rd W
Scotchtown, NY 10941-1625
Mailing address
15 Fortune Rd W
Scotchtown, NY 10941-1625
Other names
- Nannette Barry
Other providers in Scotchtown, NY
All providers in Scotchtown, 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 Oct 31, 2023. 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.