Individual provider · Type 1 NPI

Dale Armetta Douglas I, L.P.N

Licensed Practical Nurse · Chittenango, NY

NPI number 1639368640 Active

Practice location

130 Mallard Bay
Chittenango, NY 13037-9553

Call (315) 633-0136 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X118687 (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.

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About NPI 1639368640

Dale Armetta Douglas I, L.P.N's National Provider Identifier is 1639368640, issued on Oct 16, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Chittenango, NY. The record was last updated on Oct 16, 2007.