Provider Demographics
NPI:1164732780
Name:NEVILLE, PATRICIA ML (LPN)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ML
Last Name:NEVILLE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 STATE ROUTE 55
Mailing Address - Street 2:
Mailing Address - City:NAPANOCH
Mailing Address - State:NY
Mailing Address - Zip Code:12458-2739
Mailing Address - Country:US
Mailing Address - Phone:845-750-7576
Mailing Address - Fax:
Practice Address - Street 1:15 JOYS LN
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3705
Practice Address - Country:US
Practice Address - Phone:845-331-5064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-16
Last Update Date:2010-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261196-1372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider