Autumn Marie Tucker, LPN
Licensed Practical Nurse in Hartford, NY. Individual provider (NPI-1).
NPI number1124346366
StatusActive
Last updated in NPPESMay 12, 2010
Details
- NPI
- 1124346366
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Autumn Marie Tucker
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2010
- Last updated
- May 12, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 297951-1 | NY | Yes |
Practice location
7711 State Route 40Hartford, NY 12838-1801
Phone 518-932-6694
Mailing address
7711 State Route 40Hartford, NY 12838-1801
Phone 518-932-6694
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.