Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prof. Dale Armetta Douglas I, LPN

Individual provider Licensed Practical Nurse · NPI 1639368640

Prof. Dale Armetta Douglas I, LPN is a Licensed Practical Nurse in Chittenango, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

130 Mallard Bay
Chittenango, NY 13037-9553
Phone: (315) 633-0136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 118687 (NY)

Record details

NPI number1639368640
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedOctober 16, 2007
Last updated in NPPESOctober 16, 2007

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