Individual provider · Type 1 NPI
Myrna L. Datilus
Licensed Practical Nurse · Newark, NJ
NPI number
1598458184
Active
Practice location
11-15 Clinton St Apt 6G
Newark, NJ 07102-3742
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 26NP49551300 (NJ) |
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 1598458184
Myrna L. Datilus's National Provider Identifier is 1598458184, issued on May 30, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Newark, NJ. The record was last updated on May 30, 2023.