MOLLEEN M DEMATTEO RN NPI 1740539600

NPI Information

NPI: 1740539600
Provider Name: MOLLEEN M DEMATTEO, RN
Classification: Registered Nurse - 163WS0200X
Entity Type: Individual

Specialization: School

Address:
214 ELMIRA RD
ITHACA, NY
ZIP 14850
Phone: (607) 273-9015
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Molleen M Dematteo, RN is a school registered nurse in Ithaca, NY. Molleen M Dematteo, RN NPI is 1740539600. 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:

214 ELMIRA RD
ITHACA, NY
ZIP 14850-302
Phone: (607) 273-9015

The enumeration date for this NPI number is 9/6/2012 and was last updated on 9/6/2012.

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	163WS0200X	Registered Nurse	School	506075	NEW YORK	Yes

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: 5/5/2024

NPI Synchronization or Removal

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