Individual provider · Type 1 NPI

Sara Tackie

Licensed Practical Nurse · Bronx, NY

NPI number 1154561744 Active

Practice location

2085 Valentine Ave, Apt 1-L
Bronx, NY 10457-3005

Call (646) 225-1753 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X294799 (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 1154561744

Sara Tackie's National Provider Identifier is 1154561744, issued on Feb 23, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on May 5, 2009.