Individual provider · Type 1 NPI

Wanda D'orta

Licensed Practical Nurse · Grand Gorge, NY

NPI number 1174975536 Active

Practice location

39722 State Highway 23
Grand Gorge, NY 12434-1310

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X281966 (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.

About NPI 1174975536

Wanda D'orta's National Provider Identifier is 1174975536, issued on Jul 11, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Grand Gorge, NY. The record was last updated on Jul 11, 2016.