Individual provider · Type 1 NPI

Tache Ebony Star Gorton

Licensed Practical Nurse · Bloomingburg, NY

NPI number 1306518626 Active

Practice location

25 Aspen Drive
Bloomingburg, NY 12721

Call (845) 249-9646 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X33303701 (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 1306518626

Tache Ebony Star Gorton's National Provider Identifier is 1306518626, issued on Oct 5, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bloomingburg, NY. The record was last updated on Oct 5, 2021.