Individual provider · Type 1 NPI

Thaddeus Hairston

Licensed Practical Nurse · Liverpool, NY

NPI number 1356756019 Active

Practice location

1015 7th North St Apt A2
Liverpool, NY 13088-6138

Call (315) 491-8814 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X251862-1 (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 1356756019

Thaddeus Hairston's National Provider Identifier is 1356756019, issued on Jun 21, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Liverpool, NY. The record was last updated on Jun 21, 2014.