ELISABETH ROUSE
NPI 1902273675
Licensed Practical Nurse in Waterloo, NY

Active since August 28, 2015
21 OAK ST APT A., WATERLOO, NY 13165(315) 745-9496 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About ELISABETH ROUSE

This page provides the complete NPI Profile along with additional information for Elisabeth Rouse, a provider established in Waterloo, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1902273675 assigned on August 2015. The practitioner's primary taxonomy code is 164W00000X with license number 320345-1 (NY). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1902273675 Verify this NPI
Provider Name
ELISABETH ROUSE
Gender
Female
Entity Type
Individual
Location Address
21 OAK ST APT A. WATERLOO, NY 13165
Location Phone
(315) 745-9496
Mailing Address
21 OAK ST APT A. WATERLOO, NY 13165
Mailing Phone
(315) 745-9496
Is Sole Proprietor?
Yes
Enumeration Date
08-28-2015
Last Update Date
11-15-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
320345-1
License State
NY
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902273675, enumerated as an "individual" on August 28, 2015.

The provider is located at 21 OAK ST APT A. WATERLOO, NY 13165 and the phone number is (315) 745-9496.

Licensed Practical Nurse with taxonomy code 164W00000X.