Individual provider · Type 1 NPI

Kimberly Susan Tillett

Licensed Practical Nurse · Dix Hills, NY

NPI number 1275011835 Active

Practice location

22 Millet St.
Dix Hills, NY 11746

Call (631) 205-8541 Map

Mailing address

22 Millet St
Dix Hills, NY 11746-8108

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X292835-1 (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 1275011835

Kimberly Susan Tillett's National Provider Identifier is 1275011835, issued on Aug 4, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dix Hills, NY. The record was last updated on Aug 4, 2018.