Individual provider · Type 1 NPI

Rusty Mae Hakes, LPN

Licensed Practical Nurse · Corning, NY

NPI number 1366725095 Active

Practice location

88 Tioga Ave
Corning, NY 14830-2858

Mailing address

24 W Hazel St
Corning, NY 14830-1936

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X273152-1 (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 1366725095

Rusty Mae Hakes, LPN's National Provider Identifier is 1366725095, issued on Sep 20, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Corning, NY. The record was last updated on Sep 20, 2011.