Individual provider · Type 1 NPI

Ifeyinwa Ezissi, LPN

Licensed Practical Nurse · Laurelton, NY

NPI number 1104397561 Active

Practice location

13735 219th St
Laurelton, NY 11413-2244

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X334151 (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 1104397561

Ifeyinwa Ezissi, LPN's National Provider Identifier is 1104397561, issued on Dec 11, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Laurelton, NY. The record was last updated on Dec 11, 2018.