Individual provider · Type 1 NPI

Caridad Boucicault

Licensed Practical Nurse · Smithtown, NY

NPI number 1306164322 Active

Practice location

17 Bank Ave
Smithtown, NY 11787-2703

Fax (516) 570-4099

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X261208-1 (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 1306164322

Caridad Boucicault's National Provider Identifier is 1306164322, issued on May 14, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Smithtown, NY. The record was last updated on Apr 19, 2022.