MRS. MICHELLE RENEE FELLOWS LPN NPI 1356414403

NPI Information

NPI: 1356414403
Provider Name: MRS. MICHELLE RENEE FELLOWS, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
5405 STATE ROUTE 104
OSWEGO, NY
ZIP 13126
Phone: (315) 342-8460
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MRS. Michelle Renee Fellows, LPN is a licensed practical nurse in Oswego, NY. The provider is a licensed practical nurse 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. MRS. Michelle Renee Fellows, LPN NPI is 1356414403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5405 STATE ROUTE 104
OSWEGO, NY
ZIP 13126-803
Phone: (315) 342-8460

The enumeration date for this NPI number is 11/16/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		230286-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01763304	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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