Individual provider · Type 1 NPI
Marisa Emma Ford-Mimms
Licensed Practical Nurse · Tawling, NY
NPI number
1073955704
Active
Practice location
9 Reservoir Rd
Tawling, NY 12564
Mailing address
22 Davis St., Apt. 2
Beacon, NY 12508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 305728-1 (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.
3 other providers at this address
- Center for Rehabilitation and Healthcare at Dutchess LLCNursing Facility/Intermediate Care Facility Pawling, NY NPI 1235127374
- Anthony Gerard Infantino, MDSports Medicine (Physical Medicine & Rehabilitation) Physician Pawling, NY NPI 1720141526
- Jodhvir Singh Mangat, MDInternal Medicine Physician Pawling, NY NPI 1679064000
About NPI 1073955704
Marisa Emma Ford-Mimms's National Provider Identifier is 1073955704, issued on Jul 23, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tawling, NY. The record was last updated on Jul 23, 2013.