Provider Demographics
NPI:1811100415
Name:FEDERIGHI, TERRI ANNE (LPN)
Entity type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:ANNE
Last Name:FEDERIGHI
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 1:134 SO VACATION DR
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS
Mailing Address - State:NY
Mailing Address - Zip Code:12590
Mailing Address - Country:US
Mailing Address - Phone:845-226-1729
Mailing Address - Fax:
Practice Address - Street 1:34 STILLWATER RD
Practice Address - Street 2:MICHEAL DALY
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541
Practice Address - Country:US
Practice Address - Phone:845-628-0373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLPN 243609164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse