MRS. MICHAELA ANN LOUISE DE LA CRUZ LPN
NPI 1972667814
Licensed Practical Nurse in Liverpool, NY

Active since December 21, 2006
117 LAUREL AVE, LIVERPOOL, NY 13088(315) 474-7125 Get Directions Write a Review

NPPES record last updated: April 6, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Michaela Ann Louise De La Cruz Lpn NPPES

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

MRS. MICHAELA ANN LOUISE DE LA CRUZ LPN (NPI 1972667814) is an individual licensed practical nurse in Liverpool, New York, licensed in New York (202902-1) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1972667814
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. MICHAELA ANN LOUISE DE LA CRUZCredential: LPN
Location Address117 LAUREL AVELiverpool, NY 13088-6639
Mailing Address117 Laurel AveLiverpool, NY 13088-6639 · (315) 474-7125
Sole ProprietorYes
Enumeration DateDecember 21, 2006
Last NPPES UpdateApril 6, 2010
NPI 1972667814 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 · 202902-1
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.

117 LAUREL AVE, Liverpool, NY 13088

Other Identifiers 2

Medicaid01730496NY
Other202902-1NY · Lpn Lic.no.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972667814, enumerated as an "individual" on December 21, 2006.

The provider is located at 117 LAUREL AVE LIVERPOOL, NY 13088 and the phone number is (315) 474-7125.

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.