Individual provider · Type 1 NPI
Teshanee Dara Douglas, LPN
Licensed Practical Nurse · New York, NY
NPI number
1629647920
Active
Practice location
121-123 West 111th Street
New York, NY 10026
Mailing address
760 E 160th St Fl 2
Bronx, NY 10456-7898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 280133-1 (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.
3 other providers at this address
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About NPI 1629647920
Teshanee Dara Douglas, LPN's National Provider Identifier is 1629647920, issued on Jun 21, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in New York, NY. The record was last updated on Jun 21, 2021.