Individual provider · Type 1 NPI
Timothy John Blackowikak, L.P.N
Licensed Practical Nurse · Dundas, MN
NPI number
1750701272
Active
Practice location
212 Forest Ave N
Dundas, MN 55019-3941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | L36999-0 (MN) |
| Licensed Vocational Nurse | 164X00000X | L36999-0 (MN) |
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.
About NPI 1750701272
Timothy John Blackowikak, L.P.N's National Provider Identifier is 1750701272, issued on Apr 23, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dundas, MN. The record was last updated on Apr 23, 2014.