Provider Demographics
NPI:1760645410
Name:FERINGA, ELIZABETH LANA ANN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:LANA ANN
Last Name:FERINGA
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 1:62 WHIG ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:13811-2421
Mailing Address - Country:US
Mailing Address - Phone:607-642-8229
Mailing Address - Fax:
Practice Address - Street 1:62 WHIG ST
Practice Address - Street 2:
Practice Address - City:NEWARK VALLEY
Practice Address - State:NY
Practice Address - Zip Code:13811-2421
Practice Address - Country:US
Practice Address - Phone:607-642-8229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY277173164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse