Individual provider · Type 1 NPI
Raven Guy, LPN
Licensed Practical Nurse · Mastic Beach, NY
NPI number
1386907566
Active
Practice location
530 Mastic Rd
Mastic Beach, NY 11951-1012
Mailing address
24 Prospect Ave
Brentwood, NY 11717-2423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 304095 (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 1386907566
Raven Guy, LPN's National Provider Identifier is 1386907566, issued on Jun 21, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mastic Beach, NY. The record was last updated on Jun 21, 2012.