Individual provider · Type 1 NPI
Carl Duane Mathew, LPN
Licensed Practical Nurse · Fulton, NY
NPI number
1154646172
Active
Practice location
96 Bakeman St
Fulton, NY 13069-3333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 289729-1 (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 1154646172
Carl Duane Mathew, LPN's National Provider Identifier is 1154646172, issued on Apr 1, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fulton, NY. The record was last updated on Apr 1, 2010.