Individual provider · Type 1 NPI

Tuba Khan

Licensed Practical Nurse · Medford, NY

NPI number 1780579870 Active

Practice location

64 Gray Ave
Medford, NY 11763-1094

Call (631) 520-4187 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X353212 (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 1780579870

Tuba Khan's National Provider Identifier is 1780579870, issued on Jun 10, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Medford, NY. The record was last updated on Jun 10, 2025.