Individual provider · Type 1 NPI

Clovis Williams, LPN

Licensed Practical Nurse · Port Washington, NY

NPI number 1700558012 Active

Practice location

300 E Overlook
Port Washington, NY 11050-4730

Fax (516) 472-6694

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X331335-01 (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 1700558012

Clovis Williams, LPN's National Provider Identifier is 1700558012, issued on Oct 5, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Port Washington, NY. The record was last updated on Oct 5, 2021.