Individual provider · Type 1 NPI

Anastazia Medina

Licensed Practical Nurse · Center Moriches, NY

NPI number 1407287535 Active

Practice location

11 Bernstein Blvd
Center Moriches, NY 11934-1601

Call (631) 645-1511 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X293527-1 (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 1407287535

Anastazia Medina's National Provider Identifier is 1407287535, issued on Nov 27, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Center Moriches, NY. The record was last updated on Nov 27, 2013.