Individual provider · Type 1 NPI

Misty Lovely

Licensed Practical Nurse · Ogdensburg, NY

NPI number 1104295708 Active

Practice location

1003 Park St
Ogdensburg, NY 13669-3911

Call (315) 713-9090 Map

Fax (315) 713-9330

Mailing address

56 Market St
Potsdam, NY 13676-1747

Other practice locations

  • 56 Market St, Potsdam, NY 13676-1747 · (315) 265-4065

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X311492 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

142 other providers at this address

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About NPI 1104295708

Misty Lovely's National Provider Identifier is 1104295708, issued on Sep 24, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ogdensburg, NY. The record was last updated on Jun 26, 2025.