Individual provider · Type 1 NPI

Heomwattie Mahase

Licensed Practical Nurse · Albany, NY

NPI number 1275811382 Active

Practice location

5 Computer Dr W
Albany, NY 12205-1617

Fax (518) 438-3360

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X00295446 (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 1275811382

Heomwattie Mahase's National Provider Identifier is 1275811382, issued on Jul 25, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Albany, NY. The record was last updated on Jul 25, 2011.