Provider Demographics
NPI:1164855151
Name:PIGOTT, PATRICIA MAUREEN (LPN)
Entity type:Individual
Prefix:MISS
First Name:PATRICIA
Middle Name:MAUREEN
Last Name:PIGOTT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 TINKER TOWN RD
Mailing Address - Street 2:
Mailing Address - City:DOVER PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:12522-6016
Mailing Address - Country:US
Mailing Address - Phone:845-750-3383
Mailing Address - Fax:914-607-5821
Practice Address - Street 1:90 TINKER TOWN RD
Practice Address - Street 2:
Practice Address - City:DOVER PLAINS
Practice Address - State:NY
Practice Address - Zip Code:12522-6016
Practice Address - Country:US
Practice Address - Phone:845-750-3383
Practice Address - Fax:914-607-5821
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY297074164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse