Individual provider · Type 1 NPI

Melissa Damuth

Licensed Practical Nurse · Boonville, NY

NPI number 1699088310 Active

Practice location

6670 State Route 294, Apt 1
Boonville, NY 13309-3957

Mailing address

6670 State Route 294, Apt 1
Ava, NY 13303

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X280476 (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 1699088310

Melissa Damuth's National Provider Identifier is 1699088310, issued on Jul 22, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Boonville, NY. The record was last updated on Jul 22, 2010.