Individual provider · Type 1 NPI

Kaitlin Elizabeth Archer

Licensed Practical Nurse · Ronkonkoma, NY

NPI number 1508390873 Active

Practice location

28 Croydon Ave
Ronkonkoma, NY 11779-1927

Call (631) 428-6879 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X325513 (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 1508390873

Kaitlin Elizabeth Archer's National Provider Identifier is 1508390873, issued on Apr 13, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ronkonkoma, NY. The record was last updated on Apr 13, 2017.