Individual provider · Type 1 NPI
Coretta Walsh, LPN
Licensed Practical Nurse · Brooklyn, NY
NPI number
1396084471
Active · reactivated Aug 27, 2026
Practice location
175 Ardsley Loop, 19E
Brooklyn, NY 11239-1314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 311135 (NY) |
| Licensed Practical Nurse | 164W00000X | 26NP06904100 (NJ) |
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 1396084471
Coretta Walsh, LPN's National Provider Identifier is 1396084471, issued on Feb 8, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 27, 2026.