Individual provider · Type 1 NPI

Etienna Fanord

Licensed Practical Nurse · Brooklyn, NY

NPI number 1104120591 Active

Practice location

1809 Nostrand Ave Ste 2
Brooklyn, NY 11226-7181

Call (718) 421-4224 Map

Fax (718) 421-4774

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X302194-1 (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 1104120591

Etienna Fanord's National Provider Identifier is 1104120591, issued on Dec 29, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Dec 29, 2010.