National Provider Identifier

Michelle Nicole Minutolo

Michelle Nicole Minutolo is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Newark, NY and a listed phone number of (315) 573-3244.

NPI 1265777163Newark, NYLicensed Practical Nurse

Profile Overview

NPI
1265777163
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 03, 2012
Last Updated
December 03, 2012

Practice Location

  • 3057 State Route 88 N Apt 2
  • Newark, NY 14513-9316

Phone: (315) 573-3244

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1265777163
Entity Type
Individual
Last Name
Minutolo
First Name
Michelle
Middle Name
Nicole
Mailing Street Address
3057 State Route 88 N Apt 2
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-9316
Mailing Country
US
Mailing Phone
(315) 573-3244
Practice Street Address
3057 State Route 88 N Apt 2
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-9316
Practice Country
US
Practice Phone
(315) 573-3244
Enumeration Date
December 03, 2012
Last Updated
December 03, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)