Individual provider · Type 1 NPI

Cheyenne Slack, LPN

Licensed Practical Nurse · Northport, NY

NPI number 1386236818 Active

Practice location

23 Brittany Ct
Northport, NY 11768-3225

Mailing address

1308 N Park Ave
Bay Shore, NY 11706-4108

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X340734 (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.

4 other providers at this address

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About NPI 1386236818

Cheyenne Slack, LPN's National Provider Identifier is 1386236818, issued on Feb 5, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Northport, NY. The record was last updated on Sep 27, 2021.