Individual provider · Type 1 NPI

Marie Bolivar

Licensed Practical Nurse · Jamaica, NY

NPI number 1114285897 Active

Practice location

8825 163rd St
Jamaica, NY 11432-4046

Call (718) 739-0045 Map

Mailing address

10018 218th St
Queens Village, NY 11429-1221

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	291349 (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 1114285897

Marie Bolivar's National Provider Identifier is 1114285897, issued on May 1, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jamaica, NY. The record was last updated on May 1, 2012.