Individual provider · Type 1 NPI

Diane Desser Walata, LPN

Licensed Practical Nurse · Lindenhurst, NY

NPI number 1447554738 Active

Practice location

396 N Wellwood Ave
Lindenhurst, NY 11757-3343

Call (631) 943-7627 Map

Fax (631) 225-1952

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X290861-1 (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 1447554738

Diane Desser Walata, LPN's National Provider Identifier is 1447554738, issued on Dec 31, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lindenhurst, NY. The record was last updated on Dec 31, 2010.