Individual provider · Type 1 NPI
Tracy Lynne Vandresar, LPN
Licensed Practical Nurse · Rome, NY
NPI number
1659693000
Active
Practice location
200 N Levitt St Apt 513
Rome, NY 13440-3085
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 275730 (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 1659693000
Tracy Lynne Vandresar, LPN's National Provider Identifier is 1659693000, issued on Feb 25, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rome, NY. The record was last updated on Mar 2, 2010.