Individual provider · Type 1 NPI

Rayne Shomo

Licensed Practical Nurse · Rosedale, NY

NPI number 1508302779 Active

Practice location

249-22 144th Ave
Rosedale, NY 11422

Call (516) 366-9111 Map

Mailing address

24922 144th Ave
Rosedale, NY 11422-2502

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X3246111 (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 1508302779

Rayne Shomo's National Provider Identifier is 1508302779, issued on Jan 12, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rosedale, NY. The record was last updated on Jan 12, 2017.