Individual provider · Type 1 NPI

Mandisa J. Samuel, LPN

Licensed Practical Nurse · Mount Vernon, NY

NPI number 1104165778 Active

Practice location

53 Bell Ave
Mount Vernon, NY 10550-4808

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X311705-1 (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 1104165778

Mandisa J. Samuel, LPN's National Provider Identifier is 1104165778, issued on Feb 2, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mount Vernon, NY. The record was last updated on Feb 2, 2013.