Individual provider · Type 1 NPI

Clarissa Victoria Trader

Licensed Practical Nurse · Pocomoke City, MD

NPI number 1669054615 Active

Practice location

1532 Ocean Hwy
Pocomoke City, MD 21851-3023

Fax (443) 437-7131

Mailing address

3564 Navigator Dr
Greenbackville, VA 23356-2508

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0002097361 (VA)

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 1669054615

Clarissa Victoria Trader's National Provider Identifier is 1669054615, issued on Apr 28, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Pocomoke City, MD. The record was last updated on Apr 28, 2021.