Individual provider · Type 1 NPI

Christina Domicello

Licensed Practical Nurse · Penfield, NY

NPI number 1043681935 Active

Practice location

1505 Shoecraft Rd
Penfield, NY 14526-9707

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X3237931 (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 1043681935

Christina Domicello's National Provider Identifier is 1043681935, issued on Oct 17, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Penfield, NY. The record was last updated on Oct 17, 2015.