Elizabeth Walkley
Individual provider Active NPI Licensed Practical Nurse · Wayland, NY
NPI 1891985651 · NPPES record last updated Jul 27, 2007
Key facts
- NPI
- 1891985651
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 164827-1 (NY)
- Practice address
- 405 2ND Ave
Wayland, NY 14572-1023 - Phone
- (585) 728-2838
- NPI assigned
- Jul 27, 2007
- 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 |
|---|---|---|---|
| 164827-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 164827-1 | NY | Yes |
Addresses
Primary practice location
405 2ND Ave
Wayland, NY 14572-1023
Mailing address
405 2ND Ave
Wayland, NY 14572-1023
Phone (585) 728-2838
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01660062 | Medicaid | NY |
Other providers in Wayland, NY
- Julie Snaith
- Diane Marie Snyder
- Springwater Wayland Emergency Medical Services Inc.
- Elizabeth Starkey
- Tri-County Family Medicine Program, Inc.
- Alyssa Wallace
- Wayland Dental Care, PC
- Wayland Family and Sports Medicine, P.C.
- Wayland Management, Inc.
- Wayland Optometric
All providers in Wayland, 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 Jul 27, 2007. 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.