Individual provider · Type 1 NPI
Carl Robertson
Licensed Practical Nurse · Rosedale, NY
NPI number
1124724067
Active
Practice location
13936 254th St
Rosedale, NY 11422-2616
Mailing address
89 Bartlett St
Brooklyn, NY 11206-4463
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 329641 (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 1124724067
Carl Robertson's National Provider Identifier is 1124724067, issued on Feb 2, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rosedale, NY. The record was last updated on Feb 2, 2023.