Individual provider · Type 1 NPI

Fabiola Civil

Licensed Vocational Nurse · East Patchogue, NY

NPI number 1417865130 Active

Practice location

29 Myrtle Ln
East Patchogue, NY 11772-5722

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X335503-01 (NY)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1417865130

Fabiola Civil's National Provider Identifier is 1417865130, issued on Sep 1, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in East Patchogue, NY. The record was last updated on Sep 1, 2026.