Individual provider · Type 1 NPI

Jane Moudrik

Licensed Practical Nurse · Kauneonga Lake, NY

NPI number 1184150153 Active

Practice location

44 Henrey Street Wurtsboro
Kauneonga Lake, NY 12749-0454

Mailing address

PO Box 454
Kauneonga Lake, NY 12749-0454

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X198930 (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 1184150153

Jane Moudrik's National Provider Identifier is 1184150153, issued on May 11, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Kauneonga Lake, NY. The record was last updated on May 11, 2017.