Individual provider · Type 1 NPI

Agnes Itunga

Licensed Practical Nurse · Mechanicsburg, PA

NPI number 1104568658 Active

Practice location

920 Century Dr
Mechanicsburg, PA 17055-8417

Call (717) 766-6974 Map

Fax (717) 766-6975

Mailing address

4218 Nantucket Dr
Mechanicsburg, PA 17050-9105

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN304876 (PA)

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 1104568658

Agnes Itunga's National Provider Identifier is 1104568658, issued on Apr 13, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mechanicsburg, PA. The record was last updated on Apr 13, 2022.