Individual provider · Type 1 NPI

Heather Marie Samuelsen, LPN

Licensed Practical Nurse · Mastic Beach, NY

NPI number 1780968305 Active

Practice location

46 Washington Avenue
Mastic Beach, NY 11951-1915

Mailing address

46 Washington Ave
Mastic Beach, NY 11951-1915

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X10-307069 (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 1780968305

Heather Marie Samuelsen, LPN's National Provider Identifier is 1780968305, issued on Sep 30, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mastic Beach, NY. The record was last updated on Sep 30, 2011.