Individual provider · Type 1 NPI

Mireille Deetjen, LPN

Licensed Practical Nurse · New York, NY

NPI number 1033467675 Active

Practice location

250 E 60th St, Apt 9C
New York, NY 10022-1604

Call (917) 862-5215 Map

Fax (718) 347-4643

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X165663 (NY)

Licensed Practical Nurse: 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.

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About NPI 1033467675

Mireille Deetjen, LPN's National Provider Identifier is 1033467675, issued on Aug 29, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in New York, NY. The record was last updated on Aug 29, 2012.