Individual provider · Type 1 NPI

Pauline Super, LPN

Licensed Practical Nurse · East Islip, NY

NPI number 1093090722 Active

Practice location

110 Adelhaide Ln
East Islip, NY 11730-2232

Call (516) 322-2566 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X306879-1 (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.

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About NPI 1093090722

Pauline Super, LPN's National Provider Identifier is 1093090722, issued on Oct 13, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in East Islip, NY. The record was last updated on Oct 13, 2011.