Provider Demographics
NPI:1639409832
Name:LOVEALL, AMY M (LPN)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:M
Last Name:LOVEALL
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 1:183 E 6TH ST
Mailing Address - Street 2:APT 2
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-3214
Mailing Address - Country:US
Mailing Address - Phone:315-591-1031
Mailing Address - Fax:315-963-5449
Practice Address - Street 1:183 E 6TH ST
Practice Address - Street 2:APT 2
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-3214
Practice Address - Country:US
Practice Address - Phone:315-591-1031
Practice Address - Fax:315-963-5449
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY265992164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse