Individual provider · Type 1 NPI

Tara Hallenback, LPN

Licensed Practical Nurse · Hicksville, NY

NPI number 1346554128 Active

Practice location

372 Woodbury Rd
Hicksville, NY 11801-3036

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X10-299641 (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 1346554128

Tara Hallenback, LPN's National Provider Identifier is 1346554128, issued on Aug 4, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Hicksville, NY. The record was last updated on Aug 4, 2010.