Individual provider · Type 1 NPI

Crystal Marie Rivera, L.P.N

Licensed Practical Nurse · Holbrook, NY

NPI number 1659624203 Active

Practice location

56 Avis Dr
Holbrook, NY 11741-2515

Call (631) 413-6252 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X311644-1 (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.

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About NPI 1659624203

Crystal Marie Rivera, L.P.N's National Provider Identifier is 1659624203, issued on Oct 19, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Holbrook, NY. The record was last updated on Oct 19, 2012.