Individual provider · Type 1 NPI

Khaira S. Disla, LPN

Licensed Practical Nurse · Farmingdale, NY

NPI number 1407182140 Active

Practice location

36 Weiden St
Farmingdale, NY 11735-3414

Call (516) 586-5942 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X291625-1 (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 1407182140

Khaira S. Disla, LPN's National Provider Identifier is 1407182140, issued on Nov 1, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Farmingdale, NY. The record was last updated on Nov 1, 2009.