Melisa C Letts Butler
Licensed Practical Nurse in Shrub Oak, NY. Individual provider (NPI-1).
NPI number1982304549
StatusActive
Last updated in NPPESMar 3, 2023
Details
- NPI
- 1982304549
- Entity type
- Individual (NPI-1)
- Name
- Melisa C Letts Butler
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 3, 2023
- Certification date
- Mar 3, 2023
- Last updated
- Mar 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 320499 | NY | Yes |
Practice location
3823 Indian Hill RdShrub Oak, NY 10588-1303
Phone 917-349-7741
Mailing address
3823 Indian Hill RdShrub Oak, NY 10588-1303
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