Individual provider · Type 1 NPI
Ryker Maddox
Licensed Practical Nurse · Frewsburg, NY
NPI number
1306385455
Active
Practice location
39 W Main St
Frewsburg, NY 14738-9628
Mailing address
PO Box 258, 39 West Main Street
Frewsburg, NY 14738-0258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 326375 (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.
About NPI 1306385455
Ryker Maddox's National Provider Identifier is 1306385455, issued on Feb 21, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Frewsburg, NY. The record was last updated on Feb 21, 2017.