Michelle Elena Laccetti, FNP
Individual provider Active NPI Family Nurse Practitioner · Garrison, NY
NPI 1972254399 · NPPES record last updated Jan 17, 2022
Key facts
- NPI
- 1972254399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 345103 (NY)
- Practice address
- 27 Morris Rd
Garrison, NY 10524-1172 - Phone
- (914) 729-4950
- NPI assigned
- Jan 17, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 345103 | NY | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 345103 | NY | Yes |
Addresses
Primary practice location
27 Morris Rd
Garrison, NY 10524-1172
Mailing address
27 Morris Rd
Garrison, NY 10524-1172
Other providers in Garrison, NY
- Barbara Idczak-Krenz
- Katherine Bailey Johnson
- Matthew Johnson
- Charles J Kelly
- Lauranne Kristoferson
- Sarah Anne Lovell
- Beth Anne Luft
- Jared S Lutwyche
- Andrew P Mannetta
- Melissa Marrero
All providers in Garrison, NY · Family Nurse Practitioner 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 Jan 17, 2022. 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.