Individual provider · Type 1 NPI

Anisa Karmella Symone Vaughan

Licensed Practical Nurse · Bronx, NY

NPI number 1427617331 Active

Practice location

3305 Barnes Ave
Bronx, NY 10467-6523

Call (347) 853-5288 Map

Mailing address

1 Summit Ave Fl 3
White Plains, NY 10606-3003

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X334013-1 (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 1427617331

Anisa Karmella Symone Vaughan's National Provider Identifier is 1427617331, issued on Jun 13, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Jun 13, 2019.