Individual provider · Type 1 NPI
Brett Coleman Lastra, RN, BSN
Infection Control Registered Nurse · Teaneck, NJ
NPI number
1417453358
Active
Practice location
1104 Teaneck Rd
Teaneck, NJ 07666-4800
Fax (201) 837-0193
Mailing address
189 Alden Pl
Englewood, NJ 07631-1622
Other practice locations
- 565 Manhattan Ave, New York, NY 10027-5250 · (212) 222-5221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 691840 (NY) |
| Registered Nurse | 163W00000X | 691840 (NY) |
| Infection Control Registered Nurse Primary | 163WI0600X | 26NR17447600 (NJ) |
Infection Control Registered Nurse: Definition to come...
4 other providers at this address
- Family of Caring at Teaneck LLCSkilled Nursing Facility Teaneck, NJ NPI 1528705431
- MR of Teaneck LLCSkilled Nursing Facility Teaneck, NJ NPI 1043228430
- Amber V. Torres, CCC-SLPSpeech-Language Pathologist Teaneck, NJ NPI 1306792809
- Kelsey Waldron, MS, OTR/LOccupational Therapist Teaneck, NJ NPI 1114464500
Other infection control registered nurse providers in Teaneck
About NPI 1417453358
Brett Coleman Lastra, RN, BSN's National Provider Identifier is 1417453358, issued on Mar 31, 2018. The primary taxonomy on file is Infection Control Registered Nurse (163WI0600X), and the practice location is in Teaneck, NJ. The record was last updated on Jun 5, 2023.