Individual provider · Type 1 NPI
Mariebeth Dickerson
Licensed Practical Nurse · Bronx, NY
NPI number
1295385755
Active
Practice location
329 E 149th St
Bronx, NY 10451-5625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 314181-1 (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 1295385755
Mariebeth Dickerson's National Provider Identifier is 1295385755, issued on Sep 17, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Sep 17, 2019.