Individual
BETTY MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11 GLORIA DR, SPRING VALLEY, NY 10977-2129
(845) 321-6239
Mailing address
11 GLORIA DR, SPRING VALLEY, NY 10977-2129
(845) 321-6239
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2888861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2888861
LPN NUMBER
NY
Enumeration date
04/22/2008
Last updated
04/22/2008
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