Individual provider · Type 1 NPI
Melrose Vicks, LPN
Licensed Practical Nurse · Massapequa Park, NY
NPI number
1659669356
Active
Practice location
125 Front St, Suite 3
Massapequa Park, NY 11762-2761
Fax (516) 557-2109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 304652 (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.
Another provider at this address
Other licensed practical nurse providers in Massapequa Park
About NPI 1659669356
Melrose Vicks, LPN's National Provider Identifier is 1659669356, issued on Jul 14, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Massapequa Park, NY. The record was last updated on Jul 14, 2011.