Individual provider · Type 1 NPI

Antonette Ebanks

Licensed Practical Nurse · Bronx, NY

NPI number 1700201175 Active

Practice location

4188 Barnes Ave
Bronx, NY 10466-4346

Call (914) 648-9008 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X317140-1 (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 1700201175

Antonette Ebanks's National Provider Identifier is 1700201175, issued on Feb 21, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Feb 21, 2014.