Individual provider · Type 1 NPI

Nadira Detlefsen, LPN

Licensed Practical Nurse · Mastic Beach, NY

NPI number 1295198588 Active

Practice location

136 Washington Ave
Mastic Beach, NY 11951-2208

Call (631) 295-4524 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X323393 (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 1295198588

Nadira Detlefsen, LPN's National Provider Identifier is 1295198588, issued on Apr 4, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mastic Beach, NY. The record was last updated on Apr 4, 2016.