Individual provider · Type 1 NPI
Lory Quidilla, NP
Licensed Practical Nurse · Brooklyn, NY
NPI number
1124191853
Active
Practice location
4802 10th Ave
Brooklyn, NY 11219-2916
Fax (718) 283-8796
Mailing address
PO Box 283
Brooklyn, NY 11220-0283
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 386409 (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 1124191853
Lory Quidilla, NP's National Provider Identifier is 1124191853, issued on Nov 17, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.