National Provider Identifier

Dee Ann Muck, LPN

Dee Ann Muck, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Himrod, NY and a listed phone number of (607) 243-7576.

NPI 1104987411Himrod, NYLicensed Practical Nurse

Profile Overview

NPI
1104987411
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 12, 2006
Last Updated
November 24, 2020

Practice Location

  • 733 Rice RD
  • Himrod, NY 14842-9728

Phone: (607) 243-7576

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1104987411
Entity Type
Individual
Last Name
Muck
First Name
Dee
Middle Name
Ann
Credential
LPN
Mailing Street Address
733 Rice RD
Mailing City
Himrod
Mailing State
NY
Mailing ZIP Code
14842-9728
Mailing Country
US
Mailing Phone
(607) 243-7720
Practice Street Address
733 Rice RD
Practice City
Himrod
Practice State
NY
Practice ZIP Code
14842-9728
Practice Country
US
Practice Phone
(607) 243-7576
Enumeration Date
December 12, 2006
Last Updated
November 24, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
November 24, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
282482-1 (NY, Nys LPN License Number), 02707826 (NY)