National Provider Identifier

Alyssa Michelle Clement, LPN

Alyssa Michelle Clement, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Walworth, NY and a listed phone number of (315) 986-3521.

NPI 1427767490Walworth, NYLicensed Practical Nurse

Profile Overview

NPI
1427767490
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 18, 2022
Last Updated
November 18, 2022

Practice Location

  • 1500 Dayspring Rdg
  • Walworth, NY 14568-9517

Phone: (315) 986-3521

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1427767490
Entity Type
Individual
Last Name
Clement
First Name
Alyssa
Middle Name
Michelle
Credential
LPN
Provider Other Last Name
Locke
Provider Other First Name
Alyssa
Provider Other Middle Name
Michelle
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
5
Mailing Street Address
1500 Dayspring Rdg
Mailing City
Walworth
Mailing State
NY
Mailing ZIP Code
14568-9517
Mailing Country
US
Practice Street Address
1500 Dayspring Rdg
Practice City
Walworth
Practice State
NY
Practice ZIP Code
14568-9517
Practice Country
US
Practice Phone
(315) 986-3521
Enumeration Date
November 18, 2022
Last Updated
November 18, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
November 18, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)