Individual provider · Type 1 NPI

Mary Patricia Odoherty, LPN

Licensed Practical Nurse · Kew Gardens Hills, NY

NPI number 1356654792 Active

Practice location

13665 68th Dr
Kew Gardens Hills, NY 11367-1619

Mailing address

13665 68th Drive
Kew Gardens Hills, NY 11367

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X239868-1 (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 1356654792

Mary Patricia Odoherty, LPN's National Provider Identifier is 1356654792, issued on Jul 14, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Kew Gardens Hills, NY. The record was last updated on Jul 14, 2010.