Individual provider · Type 1 NPI
Randolf Diamond
Licensed Practical Nurse · Kenmore, NY
NPI number
1750026100
Active
Practice location
144 Wardman Rd
Kenmore, NY 14217-2837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 301860 (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 1750026100
Randolf Diamond's National Provider Identifier is 1750026100, issued on Apr 30, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Kenmore, NY. The record was last updated on Apr 30, 2022.