Individual provider · Type 1 NPI

Anne Maudeline Destine

Licensed Practical Nurse · Brooklyn, NY

NPI number 1104783380 Active

Practice location

1115 Avenue U
Brooklyn, NY 11223-5019

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X339848 (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 1104783380

Anne Maudeline Destine's National Provider Identifier is 1104783380, issued on Jan 8, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jan 8, 2026.