Individual provider · Type 1 NPI

Michelle Gonzaque, LPN

Licensed Practical Nurse · Bellport, NY

NPI number 1639833478 Active

Practice location

642 Macdonald Ave
Bellport, NY 11713-1649

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X342766-01 (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 1639833478

Michelle Gonzaque, LPN's National Provider Identifier is 1639833478, issued on Oct 27, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bellport, NY. The record was last updated on Oct 27, 2021.