Individual provider · Type 1 NPI

Dominique Kirsten Celis Pimentel, LPN

Licensed Practical Nurse · Blue Point, NY

NPI number 1497325724 Active

Practice location

263 Blue Point Ave
Blue Point, NY 11715-1224

Call (631) 419-6737 Map

Fax (631) 868-3498

Mailing address

8244 Country Pointe Cir
Queens Village, NY 11427-3002

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X3390077 (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 1497325724

Dominique Kirsten Celis Pimentel, LPN's National Provider Identifier is 1497325724, issued on Jun 29, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Blue Point, NY. The record was last updated on Jun 29, 2021.