Individual provider · Type 1 NPI

Kuburat Odofin

Licensed Practical Nurse · Staten Island, NY

NPI number 1629513635 Active

Practice location

344 Britton Ave
Staten Island, NY 10304-3428

Call (347) 824-0085 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X3248661 (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 1629513635

Kuburat Odofin's National Provider Identifier is 1629513635, issued on Dec 29, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Staten Island, NY. The record was last updated on Dec 29, 2016.