Individual provider · Type 1 NPI

Ida Teofilo Perkins

Licensed Practical Nurse · Kotzebue, AK

NPI number 1366683583 Active

Practice location

436 & 5th Ted Stevens Way
Kotzebue, AK 99752

Mailing address

733 2nd Ave
Kotzebue, AK 99752

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X6518 (AK)
Licensed Practical Nurse 164W00000XLPN 14579 (HI)
Licensed Vocational Nurse 164X00000XVN 188489 (CA)

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.

3 other providers at this address

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About NPI 1366683583

Ida Teofilo Perkins's National Provider Identifier is 1366683583, issued on Mar 18, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Kotzebue, AK. The record was last updated on Mar 18, 2009.