IndividualActive
Nichelle Dewitt, RN
NPI 1407367220 · Long-Term Care Clinical Nurse Specialist · Liberty, NY
Provider details
- NPI number
- 1407367220
- Entity type
- Individual
- Primary specialty
- Long-Term Care Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 672377-1 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
256 Sunset Lake Rd
Liberty, NY 12754-2847
Phone: (845) 513-2012
Fax: (845) 513-2177
Approximate (ZIP-level) locationGet directions
Mailing address
256 Sunset Lake Rd
Liberty, NY 12754-2847
Registry dates
- Enumerated
- 2017-10-19
- Last updated
- 2017-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.