Melisa C Letts Butler
Individual provider Active NPI Licensed Practical Nurse · Shrub Oak, NY
NPI 1982304549 · NPPES record last updated Mar 3, 2023
Key facts
- NPI
- 1982304549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 320499 (NY)
- Practice address
- 3823 Indian Hill Rd
Shrub Oak, NY 10588-1303 - Phone
- (917) 349-7741
- NPI assigned
- Mar 3, 2023
- 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 |
|---|---|---|---|
| 320499 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 320499 | NY | Yes |
Addresses
Primary practice location
3823 Indian Hill Rd
Shrub Oak, NY 10588-1303
Mailing address
3823 Indian Hill Rd
Shrub Oak, NY 10588-1303
Other providers in Shrub Oak, NY
- Margot Lynn Harrington
- Ian Rosengarten DDS PLLC
- Kerri Jennings
- Lakeland Central School District
- Elliot Ledner
- Marcia Brady Loughran
- Michelle Mace
- Carol McDowell
- Terrence P Murphy
- Courtney Alexandria Murray
All providers in Shrub Oak, 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 Mar 3, 2023. 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.