1578006151 NPI number — MRS. EMILY NICOLE LOCKHART R.N.

Table of content: MRS. EMILY NICOLE LOCKHART R.N. (NPI 1578006151)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578006151 NPI number — MRS. EMILY NICOLE LOCKHART R.N.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOCKHART
Provider First Name:
EMILY
Provider Middle Name:
NICOLE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
R.N.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HASKELL
Provider Other First Name:
EMILY
Provider Other Middle Name:
NICOLE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
R.N.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1578006151
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/30/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
47 VAUGHN RD
Provider Second Line Business Mailing Address:
HUDSON FALLS PRIMARY SCHOOL
Provider Business Mailing Address City Name:
HUDSON FALLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12839-1219
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-681-4465
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
47 VAUGHN RD
Provider Second Line Business Practice Location Address:
HUDSON FALLS PRIMARY SCHOOL
Provider Business Practice Location Address City Name:
HUDSON FALLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12839-1219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-681-4465
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/30/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WS0200X , with the licence number:  667881 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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