Individual provider · Type 1 NPI

Dedra D. Joseph, LPN

Licensed Practical Nurse · Valley Stream, NY

NPI number 1255914263 Active

Practice location

50 W Hawthorne Ave Fl 2
Valley Stream, NY 11580-6223

Call (516) 204-1320 Map

Mailing address

62 Lincoln St
Elmont, NY 11003-2322

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X280219-1 (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 1255914263

Dedra D. Joseph, LPN's National Provider Identifier is 1255914263, issued on Apr 28, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Valley Stream, NY. The record was last updated on Apr 28, 2021.