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MRS. TINA L WALRATH LPN
NPI 1780733311
Licensed Practical Nurse in Gouverneur, NY

Active since January 10, 2007
100 HAILESBORO ST, GOUVERNEUR, NY 13642(315) 287-0564 Get Directions Write a Review

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

About Mrs. Tina L Walrath Lpn NPPES

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

MRS. TINA L WALRATH LPN (NPI 1780733311) is an individual licensed practical nurse in Gouverneur, New York, licensed in New York (273662) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1780733311
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. TINA L WALRATHCredential: LPN
Location Address100 HAILESBORO STGouverneur, NY 13642-1608
Mailing Address100 Hailesboro StGouverneur, NY 13642-1608
Phone(315) 287-0564
Sole ProprietorYes
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1780733311 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 · 273662
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.
100 HAILESBORO ST, Gouverneur, NY 13642
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Other Identifiers 1

Medicaid02549237NY

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 Tina Walrath's NPI number?

The NPI number for Tina Walrath is 1780733311. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Tina Walrath located?

Tina Walrath practices at 100 Hailesboro St, Gouverneur, NY 13642. The listed phone number is (315) 287-0564.

What is Tina Walrath'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 Tina Walrath was last updated on July 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.