MS. LEISA KAY DWYER RN
NPI 1710243613
Registered Nurse - School in Malone, NY
Active since April 04, 2012
183 WEBSTER STREET, DAVIS ELEMENTARY, MALONE, NY 12953(518) 483-7802(518) 483-6390 Get Directions Write a Review
About Ms. Leisa Kay Dwyer Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LEISA KAY DWYER RN (NPI 1710243613) is an individual school provider in Malone, New York, licensed in New York (493695-1(RNLICENSE)) and active in the NPI registry since April 2012.
NPPES Registry Identity
NPI1710243613
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameMS. LEISA KAY DWYERCredential: RN
Location Address183 WEBSTER STREET, DAVIS ELEMENTARYMalone, NY 12953
Mailing AddressP.o. Box 847, 42 Huskie LaneMalone, NY 12953 · (518) 483-7800 · Fax (518) 483-3071
Phone(518) 483-7802
Fax(518) 483-6390
Sole ProprietorNo
Enumeration DateApril 4, 2012
✔ NPI 1710243613 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in NY · 493695-1(RNLICENSE)
183 WEBSTER STREET, Malone, NY 12953
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710243613, enumerated as an "individual" on April 04, 2012.
The provider is located at 183 WEBSTER STREET DAVIS ELEMENTARY MALONE, NY 12953 and the phone number is (518) 483-7802.
Registered Nurse with taxonomy code 163WS0200X and a focus in School.