Individual provider · Type 1 NPI

Doris Wade, LPN

Licensed Practical Nurse · Glen Cove, NY

NPI number 1124660782 Active

Practice location

113 Glen Cove Ave
Glen Cove, NY 11542-3438

Call (516) 676-2388 Map

Fax (516) 759-5259

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X212401-1 (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 1124660782

Doris Wade, LPN's National Provider Identifier is 1124660782, issued on Oct 15, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Glen Cove, NY. The record was last updated on Oct 15, 2019.