Individual provider · Type 1 NPI

Tanaiya Nixon

Licensed Practical Nurse · Massapequa, NY

NPI number 1689415317 Active

Practice location

733 Clocks Blvd
Massapequa, NY 11758-6903

Call (631) 408-8185 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X350252 (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 1689415317

Tanaiya Nixon's National Provider Identifier is 1689415317, issued on Jun 5, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Massapequa, NY. The record was last updated on Jun 5, 2024.