Individual provider · Type 1 NPI

Marie Gustave, LPN

Licensed Practical Nurse · Coram, NY

NPI number 1720559891 Active

Practice location

1998 Route 112 Apt 51A
Coram, NY 11727-3062

Call (631) 624-8242 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X331179 (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 1720559891

Marie Gustave, LPN's National Provider Identifier is 1720559891, issued on Dec 16, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Coram, NY. The record was last updated on Dec 16, 2018.