Individual provider · Type 1 NPI

Diane Nickerson, LPN

Licensed Practical Nurse · Patchogue, NY

NPI number 1780831263 Active

Practice location

2 Mainsail Dr
Patchogue, NY 11772-3409

Call (631) 569-5135 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X238095 (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 1780831263

Diane Nickerson, LPN's National Provider Identifier is 1780831263, issued on Aug 26, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Patchogue, NY. The record was last updated on Aug 26, 2008.