Individual provider · Type 1 NPI

Johnson Exantus, LPN

Licensed Practical Nurse · Deer Park, NY

NPI number 1073890729 Active

Practice location

60 Crown St
Deer Park, NY 11729-6921

Call (631) 392-0199 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X301511 (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 1073890729

Johnson Exantus, LPN's National Provider Identifier is 1073890729, issued on Nov 9, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Deer Park, NY. The record was last updated on Nov 9, 2011.