Individual provider · Type 1 NPI

Bodhwatie White

Licensed Practical Nurse · Ilion, NY

NPI number 1134310345 Active

Practice location

243 E Clark St
Ilion, NY 13357-1319

Call (315) 894-0233 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X00273849 (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 1134310345

Bodhwatie White's National Provider Identifier is 1134310345, issued on Aug 5, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ilion, NY. The record was last updated on Aug 5, 2007.