Individual provider · Type 1 NPI
Ishiemah S. Brooks
Licensed Practical Nurse · Wyandanch, NY
NPI number
1114265154
Active
Practice location
118 Jefferson Ave
Wyandanch, NY 11798-4101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 313230 (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 1114265154
Ishiemah S. Brooks's National Provider Identifier is 1114265154, issued on Jan 25, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Wyandanch, NY. The record was last updated on Jan 25, 2013.