Individual provider · Type 1 NPI

Justine Ivan

Licensed Practical Nurse · Poughkeepsie, NY

NPI number 1295338739 Active

Practice location

15 Bobrick Rd
Poughkeepsie, NY 12601-5107

Call (718) 510-2058 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X30775901 (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 1295338739

Justine Ivan's National Provider Identifier is 1295338739, issued on Nov 18, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Poughkeepsie, NY. The record was last updated on Nov 18, 2020.