MRS. MELINDA LUCIE WEATHERWAX LPN
NPI 1083878029
Licensed Practical Nurse in Potsdam, NY

Active since July 17, 2008
1051 COUNTY ROUTE 56, POTSDAM, NY 13676(315) 328-4537 Get Directions Write a Review

NPPES record last updated: August 26, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Melinda Lucie Weatherwax Lpn NPPES

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

MRS. MELINDA LUCIE WEATHERWAX LPN (NPI 1083878029) is an individual licensed practical nurse in Potsdam, New York, licensed in New York (2490121) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1083878029
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. MELINDA LUCIE WEATHERWAXCredential: LPN
Location Address1051 COUNTY ROUTE 56Potsdam, NY 13676
Mailing Address1051 County Route 56Potsdam, NY 13676 · (315) 328-4537
Sole ProprietorYes
Enumeration DateJuly 17, 2008
Last NPPES UpdateAugust 26, 2008
NPI 1083878029 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 · 2490121
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.

1051 COUNTY ROUTE 56, Potsdam, NY 13676

Other Identifiers 1

Medicare PIN02934398

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083878029, enumerated as an "individual" on July 17, 2008.

The provider is located at 1051 COUNTY ROUTE 56 POTSDAM, NY 13676 and the phone number is (315) 328-4537.

Licensed Practical Nurse with taxonomy code 164W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.