Individual provider · Type 1 NPI

Donetta Thomas

Licensed Practical Nurse · Queens Village, NY

NPI number 1548636996 Active

Practice location

20940 111th Avenue
Queens Village, NY 11429

Call (718) 776-1059 Map

Fax (718) 776-1059

Mailing address

20940 111th Ave
Queens Village, NY 11429-1719

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X322031 (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 1548636996

Donetta Thomas's National Provider Identifier is 1548636996, issued on Aug 19, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Queens Village, NY. The record was last updated on Aug 19, 2015.