Ashley Luce, LPN

Individual provider Active NPI Licensed Practical Nurse · Marcy, NY

NPI 1972028702 · NPPES record last updated Aug 14, 2017

Key facts

NPI
1972028702
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
311972-1 (NY)
Practice address
6050 Cavanaugh Rd
Marcy, NY 13403-2411
Phone
(315) 534-0730
NPI assigned
Aug 14, 2017
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
311972-1NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 311972-1 NY Yes

Addresses

Primary practice location

6050 Cavanaugh Rd
Marcy, NY 13403-2411

Mailing address

518 Mayberry Rd
Rome, NY 13440-5512
Phone (315) 271-3663

Other providers in Marcy, NY

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

Sources for this page

Verify at the official NPI Registry.