Individual provider · Type 1 NPI
Maryjennifer Wilsonberglas, LPN
Licensed Practical Nurse · Middletown, NY
NPI number
1508344664
Active
Practice location
15 Fortune Rd W
Middletown, NY 10941-1625
Fax (845) 343-8396
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 206069 (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 1508344664
Maryjennifer Wilsonberglas, LPN's National Provider Identifier is 1508344664, issued on Aug 1, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Middletown, NY. The record was last updated on Aug 1, 2018.