Individual provider · Type 1 NPI

Tina Black

Licensed Practical Nurse · Rosedale, NY

NPI number 1750853305 Active

Practice location

24325 Caney Rd
Rosedale, NY 11422-2329

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X304043-1 (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 1750853305

Tina Black's National Provider Identifier is 1750853305, issued on Dec 20, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rosedale, NY. The record was last updated on Dec 20, 2018.