Individual provider · Type 1 NPI
Mark Bengough
Licensed Practical Nurse · Deansboro, NY
NPI number
1659706356
Active
Practice location
2701 Route 12B
Deansboro, NY 13328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 7597567 (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.
About NPI 1659706356
Mark Bengough's National Provider Identifier is 1659706356, issued on Sep 12, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Deansboro, NY. The record was last updated on Sep 12, 2013.