Individual provider · Type 1 NPI

Cassandra Provilus, LPN

Licensed Practical Nurse · Brooklyn, NY

NPI number 1780098392 Active

Practice location

450 E 26th St, Ph
Brooklyn, NY 11226-7711

Call (347) 469-5018 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X309088-1 (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 1780098392

Cassandra Provilus, LPN's National Provider Identifier is 1780098392, issued on Jun 12, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 12, 2014.