Individual provider · Type 1 NPI
Evette Baum
Licensed Practical Nurse · Syracuse, NY
NPI number
1114049947
Active
Practice location
813 Fay Rd
Syracuse, NY 13219-3009
Mailing address
125 Tennyson Ave
Syracuse, NY 13204-2612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 268640 (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 1114049947
Evette Baum's National Provider Identifier is 1114049947, issued on Apr 4, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Syracuse, NY. The record was last updated on Jul 8, 2007.