Individual provider · Type 1 NPI

Xylina Pettiford

Licensed Practical Nurse · New York, NY

NPI number 1780074963 Active

Practice location

622 West 168 Street
New York, NY 10032

Call (212) 305-2500 Map

Fax (212) 305-2500

Mailing address

271 Cadman Plaza West, #21062
Brooklyn, NY 11202

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2788181 (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 1780074963

Xylina Pettiford's National Provider Identifier is 1780074963, issued on Jan 27, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in New York, NY. The record was last updated on Jan 27, 2015.