Individual provider · Type 1 NPI

Vitus C. Ezerioha

Licensed Practical Nurse · Bronx, NY

NPI number 1710496633 Active

Practice location

870 Southern Blvd., Apt 1A
Bronx, NY 10459

Call (347) 567-1079 Map

Mailing address

870 Southern Blvd Apt 1A
Bronx, NY 10459-4526

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X328550-1 (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 1710496633

Vitus C. Ezerioha's National Provider Identifier is 1710496633, issued on Sep 22, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Sep 22, 2017.