Individual provider · Type 1 NPI

Raven Gonzalez

Licensed Practical Nurse · Shirley, NY

NPI number 1083014294 Active

Practice location

87 Northern Blvd
Shirley, NY 11967-2320

Call (631) 357-6892 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X319600 (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 1083014294

Raven Gonzalez's National Provider Identifier is 1083014294, issued on Aug 26, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shirley, NY. The record was last updated on Aug 26, 2014.