Michele Diane Robillard, LPN
Individual provider Active NPI Licensed Practical Nurse · Edwards, NY
NPI 1750112819 · NPPES record last updated Aug 12, 2024
Key facts
- NPI
- 1750112819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 133231-01 (NY)
- Practice address
- 1395 State Highway 58
Edwards, NY 13635-3158 - Phone
- (315) 212-2003
- NPI assigned
- Aug 12, 2024
- 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 |
|---|---|---|---|
| 133231-01 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 133231-01 | NY | Yes |
| Home Health Clinical Nurse Specialist | 364SH0200X | 133231-01 | NY |
Addresses
Primary practice location
1395 State Highway 58
Edwards, NY 13635-3158
Mailing address
1395 State Highway 58
Edwards, NY 13635-3158
Phone (315) 212-2003
Other providers in Edwards, NY
All providers in Edwards, 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 Aug 12, 2024. 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.