Individual provider · Type 1 NPI

Juliet Mahoney

Licensed Practical Nurse · Ronkonkoma, NY

NPI number 1174991897 Active

Practice location

25 Terrace Dr
Ronkonkoma, NY 11779-3150

Call (631) 428-3148 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X316676 (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 1174991897

Juliet Mahoney's National Provider Identifier is 1174991897, issued on Sep 11, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ronkonkoma, NY. The record was last updated on Sep 11, 2015.