Individual provider · Type 1 NPI

Kaleanna A. Weatherup-Otero, LPN

Licensed Practical Nurse · Theresa, NY

NPI number 1497823389 Active

Practice location

219 Pine Street
Theresa, NY 13691-0219

Fax (315) 628-4214

Mailing address

219 Pine St
Theresa, NY 13691-2103

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X265843 (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 1497823389

Kaleanna A. Weatherup-Otero, LPN's National Provider Identifier is 1497823389, issued on Dec 1, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Theresa, NY. The record was last updated on Jul 9, 2007.