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ANGELICA BETH EMMONS
NPI 1073705422
Licensed Practical Nurse in Durhamville, NY

Active since August 09, 2007
5424 MAIN ST, DURHAMVILLE, NY 13054(315) 363-3572 Get Directions Write a Review

NPPES record last updated: August 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angelica Beth Emmons NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELICA BETH EMMONS (NPI 1073705422) is an individual licensed practical nurse in Durhamville, New York, licensed in New York (287190-1) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1073705422
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANGELICA BETH EMMONS
Location Address5424 MAIN STDurhamville, NY 13054-3101
Mailing Address5424 Main StDurhamville, NY 13054-3101 · (315) 363-3572
Phone(315) 363-3572
Sole ProprietorYes
Enumeration DateAugust 9, 2007
✔ NPI 1073705422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 287190-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
5424 MAIN ST, Durhamville, NY 13054
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Other Identifiers 1

Medicaid02841050NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelica Emmons's NPI number?

The NPI number for Angelica Emmons is 1073705422. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Angelica Emmons located?

Angelica Emmons practices at 5424 Main St, Durhamville, NY 13054. The listed phone number is (315) 363-3572.

What is Angelica Emmons's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Angelica Emmons was last updated on August 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.