Joanne Condame, RN
Individual provider Active NPI Registered Nurse · Waverly, NY
NPI 1659823243 · NPPES record last updated Oct 29, 2016
Key facts
- NPI
- 1659823243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN354726L (PA)
- Practice address
- 6 Gail Dr
Waverly, NY 14892-9534 - Phone
- (607) 333-1721
- NPI assigned
- Oct 29, 2016
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN354726L | PA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN354726L | PA | Yes |
Addresses
Primary practice location
6 Gail Dr
Waverly, NY 14892-9534
Mailing address
6 Gail Dr
Waverly, NY 14892-9534
Phone (607) 333-1721
Other providers in Waverly, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2016. 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.