Provider Demographics
NPI:1558869057
Name:MCFEV, ELIZABETH CHANTEL (LPN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CHANTEL
Last Name:MCFEV
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:CHANTEL
Other - Last Name:MCFEV
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ELIZABETH MCFEV LPN
Mailing Address - Street 1:1717 AVENUE A
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-1907
Mailing Address - Country:US
Mailing Address - Phone:518-944-8857
Mailing Address - Fax:
Practice Address - Street 1:1717 AVENUE A
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-1907
Practice Address - Country:US
Practice Address - Phone:518-944-8857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-30
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY287218164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse