Individual provider · Type 1 NPI

Petra Kimberly John

Licensed Practical Nurse · Brooklyn, NY

NPI number 1700421245 Active

Practice location

1873 Eastern Pkwy
Brooklyn, NY 11233-3214

Mailing address

136 E 95th St Apt 1F
Brooklyn, NY 11212-2905

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X334763-1 (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 1700421245

Petra Kimberly John's National Provider Identifier is 1700421245, issued on Nov 7, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Nov 7, 2019.