Individual provider · Type 1 NPI

Aiesha Mackbennett

Licensed Practical Nurse · Medford, NY

NPI number 1629473715 Active

Practice location

28 Carr Ln
Medford, NY 11763-1071

Call (631) 846-6194 Map

Mailing address

28 Carr Lane
Medford, NY 11763

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X319985-1 (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 1629473715

Aiesha Mackbennett's National Provider Identifier is 1629473715, issued on Oct 31, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Medford, NY. The record was last updated on Oct 31, 2014.