Individual provider · Type 1 NPI

Axen Theodore

Licensed Practical Nurse · Baldwin, NY

NPI number 1497130223 Active

Practice location

3325 Bertha Dr
Baldwin, NY 11510-5006

Call (347) 821-2582 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X309721 (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 1497130223

Axen Theodore's National Provider Identifier is 1497130223, issued on Jul 22, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Baldwin, NY. The record was last updated on Jul 22, 2015.