Individual provider · Type 1 NPI
Nicklos Blaylock
Registered Nurse · Bay Shore, NY
Practice location
19 20th Ave
Bay Shore, NY 11706-3109
Fax (631) 647-4613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 590968-1 (NY) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1255632675
Nicklos Blaylock's National Provider Identifier is 1255632675, issued on Nov 17, 2010. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Bay Shore, NY. The record was last updated on Nov 17, 2010.