Patricia E Dixon, LPN

Individual provider Active NPI Licensed Practical Nurse · Saugerties, NY

NPI 1861733362 · NPPES record last updated Mar 7, 2013

Key facts

NPI
1861733362
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
268859-1 (NY)
Practice address
10 Codys CT
Saugerties, NY 12477-5066
Phone
(845) 246-3882
NPI assigned
Mar 7, 2013
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
268859-1NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 268859-1 NY Yes

Addresses

Primary practice location

10 Codys CT
Saugerties, NY 12477-5066

Mailing address

10 Codys CT
Saugerties, NY 12477-5066
Phone (845) 246-3882

Other providers in Saugerties, NY

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

Sources for this page

Verify at the official NPI Registry.