Individual provider · Type 1 NPI

Diane Hendriks, LPN

Licensed Practical Nurse · Port Jefferson Station, NY

NPI number 1649459157 Active

Practice location

163 Stuyvesant Dr
Port Jefferson Station, NY 11776-4251

Call (347) 596-6027 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2781571 (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 1649459157

Diane Hendriks, LPN's National Provider Identifier is 1649459157, issued on Oct 31, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Oct 14, 2014.