Provider Demographics
NPI:1053153098
Name:VANREMMEN, PAULA (LPN)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:VANREMMEN
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 1:920 HARLEM RD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-1008
Mailing Address - Country:US
Mailing Address - Phone:716-332-3991
Mailing Address - Fax:716-831-8666
Practice Address - Street 1:920 HARLEM RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-1008
Practice Address - Country:US
Practice Address - Phone:716-332-3991
Practice Address - Fax:716-831-8666
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY322898-01164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse