Michelle Lynn Hart, LPN
Individual provider Active NPI Licensed Practical Nurse · Owls Head, NY
NPI 1962765115 · NPPES record last updated Jun 22, 2012
Key facts
- NPI
- 1962765115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 255237-1 (NY)
- Practice address
- 326 Brown Benoit Road
Owls Head, NY 12969-0326 - Phone
- (518) 481-5508
- NPI assigned
- Jun 22, 2012
- 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 |
|---|---|---|---|
| 255237-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 255237-1 | NY | Yes |
Addresses
Primary practice location
326 Brown Benoit Road
Owls Head, NY 12969-0326
Mailing address
326 Brown Benoit Road
Owls Head, NY 12969
Phone (518) 481-5508
Other names
- Ms. Michelle Lynn Fox
Other providers in Owls Head, NY
All providers in Owls Head, 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 Jun 22, 2012. 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.