Individual provider · Type 1 NPI

Mary Boladalejohnson

Licensed Practical Nurse · Springfield Gardens, NY

NPI number 1437615549 Active

Practice location

14711 223rd St
Springfield Gardens, NY 11413-4143

Call (917) 935-3719 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X333484 (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 1437615549

Mary Boladalejohnson's National Provider Identifier is 1437615549, issued on Feb 13, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Springfield Gardens, NY. The record was last updated on Feb 13, 2019.