Individual provider · Type 1 NPI

Beverly Taylor Fredenburgh, LPN

Licensed Practical Nurse · Suffern, NY

NPI number 1609218007 Active

Practice location

99 Washington Ave
Suffern, NY 10901-6026

Call (845) 357-4500 Map

Fax (845) 357-5039

Mailing address

286 W Lake St
Liberty, NY 12754-3904

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X273920 (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 1609218007

Beverly Taylor Fredenburgh, LPN's National Provider Identifier is 1609218007, issued on Jul 25, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Suffern, NY. The record was last updated on Jul 25, 2013.