Individual provider · Type 1 NPI

Nevada Street

Licensed Practical Nurse · Staten Island, NY

NPI number 1285082578 Active

Practice location

300A Lockman Ave
Staten Island, NY 10303-1882

Call (718) 619-2386 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X310739-1 (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 1285082578

Nevada Street's National Provider Identifier is 1285082578, issued on May 27, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Staten Island, NY. The record was last updated on May 27, 2016.