Individual provider · Type 1 NPI
Eliza Kollie I
Licensed Practical Nurse · Staten Island, NY
NPI number
1225575947
Active
Practice location
80 Beach Street
Staten Island, NY 10304
Mailing address
80 Beach St
Staten Island, NY 10304-2702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 3271601 (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 1225575947
Eliza Kollie I's National Provider Identifier is 1225575947, issued on Jan 20, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Staten Island, NY. The record was last updated on May 15, 2018.