Tara Marie Armison, LPN

Individual provider Active NPI Licensed Practical Nurse · Fillmore, NY

NPI 1669927992 · NPPES record last updated Aug 16, 2016

Key facts

NPI
1669927992
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
259466 (NY)
Practice address
10906 Route 19a
Fillmore, NY 14735-8616
Phone
(585) 610-8087
NPI assigned
Aug 16, 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

State licenses

LicenseStateTypeSpecialty
259466NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 259466 NY Yes

Addresses

Primary practice location

10906 Route 19a
Fillmore, NY 14735-8616

Mailing address

10906 Route 19a
Fillmore, NY 14735-8616
Phone (585) 610-8087

Other providers in Fillmore, NY

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

Sources for this page

Verify at the official NPI Registry.