Individual provider · Type 1 NPI

Maydelline Ellis, LPN

Licensed Practical Nurse · Bronx, NY

NPI number 1649522129 Active

Practice location

2054 Tillotson Ave
Bronx, NY 10475-1560

Call (718) 671-2100 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X302241 (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 1649522129

Maydelline Ellis, LPN's National Provider Identifier is 1649522129, issued on Oct 9, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Oct 9, 2012.