Individual provider · Type 1 NPI

Eric Idahor

Licensed Practical Nurse · Stoughton, MA

NPI number 1164035606 Active

Practice location

111 Tamarack Dr
Stoughton, MA 02072-5013

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLN91073 (MA)

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 1164035606

Eric Idahor's National Provider Identifier is 1164035606, issued on Aug 25, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Stoughton, MA. The record was last updated on Aug 25, 2020.