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

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X314181-1 (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.