Individual provider · Type 1 NPI

Samantha Justesen

Licensed Practical Nurse · Manorville, NY

NPI number 1447089800 Active

Practice location

107 Dayton Ave
Manorville, NY 11949

Call (631) 449-5345 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X350444 (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 1447089800

Samantha Justesen's National Provider Identifier is 1447089800, issued on Aug 1, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Manorville, NY. The record was last updated on Aug 1, 2024.