Individual provider · Type 1 NPI
Susan Decker
Licensed Practical Nurse · East Syracuse, NY
NPI number
1780839670
Active
Practice location
112 E Yates St
East Syracuse, NY 13057-2338
Mailing address
PO Box 432
East Syracuse, NY 13057-0432
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 241088 (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 1780839670
Susan Decker's National Provider Identifier is 1780839670, issued on Nov 19, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in East Syracuse, NY. The record was last updated on Nov 19, 2008.