Individual provider · Type 1 NPI

Selophia Ricketts

Licensed Practical Nurse · Far Rockaway, NY

NPI number 1225686181 Active

Practice location

720 Beach 20th St
Far Rockaway, NY 11691-3502

Call (718) 327-7002 Map

Fax (718) 327-0668

Mailing address

10463 212th St
Queens Village, NY 11429-1546

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X323777 (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 1225686181

Selophia Ricketts's National Provider Identifier is 1225686181, issued on Sep 3, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Far Rockaway, NY. The record was last updated on Sep 3, 2019.