Individual provider · Type 1 NPI

Drema G. Fructuoso, LPN

Licensed Practical Nurse · New York, NY

NPI number 1144734542 Active

Practice location

202 Edgecombe Ave
New York, NY 10030-1102

Fax (212) 690-4097

Mailing address

202-204 Edgecombe Avenue
New York, NY 10030-1102

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X196599-1 (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 1144734542

Drema G. Fructuoso, LPN's National Provider Identifier is 1144734542, issued on Nov 21, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in New York, NY. The record was last updated on Nov 21, 2017.