Individual provider · Type 1 NPI
Erica Joan Thiessen
Licensed Practical Nurse · Glen Spey, NY
NPI number
1104377191
Active
Practice location
1632 Forestburgh Rd
Glen Spey, NY 12737-5250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 322618-1 (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.
About NPI 1104377191
Erica Joan Thiessen's National Provider Identifier is 1104377191, issued on Oct 14, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Glen Spey, NY. The record was last updated on Oct 14, 2016.