BETTY JEAN NIXDORF


Address: 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668
Phone: 7177404434

BETTY JEAN NIXDORF (NPI# 1871052829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871052829
Entity Type Individual
Full Name BETTY JEAN NIXDORF
Practice Address 212 Willow Valley Lakes Dr Ste 208
Willow Street
PA 17584-9668
Practice Telephone 7177404434
Practice Fax Number 7177404453
Mailing Telephone 7177404434
Mailing Fax Number 7177404453
Enumeration Date 2019-03-19
Last Update Date 2019-03-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 164W00000X Licensed Practical Nurse PN107638 PA Nursing Service Providers
Y 164W00000X Licensed Practical Nurse PN107638L PA Nursing Service Providers

Office Location

Street Address 212 WILLOW VALLEY LAKES DR STE 208
City WILLOW STREET
State PA
Zip Code 17584-9668

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265489165 Lebanon Vamc Clinic/Center 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 2006-05-27
1851959399 Anita Cheryl Carter Licensed Practical Nurse 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 2019-05-30
1164086054 Patricia Grubb Licensed Practical Nurse 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 2019-04-25
1841758554 Patricia Mitchell Licensed Practical Nurse 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 2019-03-12
1174081954 Barabra Breanne Spradlin Registered Nurse 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 2019-03-11
1710445051 Katelyn De La Fuente Registered Nurse 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 2019-03-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396397873 Bethany M Noll Audiologist-Hearing Aid Fitter 226 Willow Valley Lakes Drive, Suite D, Willow Street, PA 17584 2019-07-15
1720546070 Michelle Beachy Licensed Practical Nurse 212 Willow Lakes Drive, Suite 208, Willow Street, PA 17584 2019-03-06
1295293603 Mary Florida Registered Nurse Department of Veteran Affiars, 212 Willow Valley Lakes Drive, Willow Street, PA 17584 2019-03-05
1275069494 Victoria Vanburen Counselor 2819 Willow Street Pike, Willow Street, PA 17584 2017-05-08
1528505245 Beverly Gooden Pharmacist 2600 Willow St. Pike, Willow St., PA 17584 2017-01-20
1902357544 White Family Dental - Willow Street Dentist 212 Willow Valley Drive, Suite 209, Willow Street, PA 17584 2016-10-19
1134482144 Alexis H Le Pharmacist 2600 N Willow Street Pike, Kmart Pharmacy #3810, Willow Street, PA 17584 2012-06-25
1992020309 Elizabeth A Trozzo Pharmacist 2600 Willow Street Pike, Willow Street, PA 17584 2010-03-30
1295987642 Nu Smile Family Dentistry Dentist 2600 Willowstreet Pike, Ste# 310, Willo W Street, PA 17584 2008-10-16
1629255948 T W Ponessa and Associates Counseling Services Inc Community/Behavioral Health 730 Hans Herr Drive, Willow Street, PA 17584 2008-01-29
Find all providers in zip 17584

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual 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.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720546070 Michelle Beachy Licensed Practical Nurse 212 Willow Lakes Drive, Suite 208, Willow Street, PA 17584 2019-03-06
1851959399 Anita Cheryl Carter Licensed Practical Nurse 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 2019-05-30
1245896505 Jaimee Smeal Licensed Practical Nurse 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 2019-05-13
1164086054 Patricia Grubb Licensed Practical Nurse 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 2019-04-25
1841758554 Patricia Mitchell Licensed Practical Nurse 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 2019-03-12
1376001081 Ivelisse Rodriguez Licensed Practical Nurse 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 2019-03-12
1144788589 Patricia Lynn Corrao Licensed Practical Nurse 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 2019-03-05
1811455280 Norby N/a Santiago Licensed Practical Nurse 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 2019-03-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770184723 Mercedes Campbell Licensed Practical Nurse 255 E Lincoln Hwy, Penndel, PA 19047-4023 2020-11-05
1689272015 Rosalia Martin Licensed Practical Nurse 1320 Matthew Dr, York, PA 17404-8605 2020-10-16
1730796335 Stephanie Bellande Licensed Practical Nurse 2919 Birney Ave, Scranton, PA 18505-3131 2020-09-28
1740897818 Ronald J Potocki Jr. Licensed Practical Nurse 8771 Findley Lake Rd, North East, PA 16428-4273 2020-09-23
1659987907 Khatifa Bundy Licensed Practical Nurse 2327 W Hagert St, Philadelphia, PA 19132-4246 2020-09-22
1457967903 Assanatu Monorma Bah Licensed Practical Nurse 800 Cottman Ave Apt 428, Philadelphia, PA 19111-3072 2020-09-21
1376159988 Sierra Alexis Gadson Licensed Practical Nurse 2151 Knorr St, Philadelphia, PA 19149-2307 2020-09-18
1306451752 Catherine L. Bredel Licensed Practical Nurse 1853 Brett St Apt 16, Pittsburgh, PA 15205-4015 2020-09-12
1134733215 Erin Marie Mosser Licensed Practical Nurse 1 Eisenhower Drive, Student Health Services, University Park, PA 16802 2020-09-04
1346853090 Marcia Tina Bristol Licensed Practical Nurse 1030 Elmwood Ave, Sharon Hill, PA 19079-1606 2020-08-24
Find all providers with the same taxonomy

Competitor

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City WILLOW STREET
Zip Code 17584

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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