Individual provider · Type 1 NPI

Pretina Maddox

Licensed Practical Nurse · Arverne, NY

NPI number 1790032258 Active

Practice location

5610 Beach Channel Dr, Apt 2C
Arverne, NY 11692-1765

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X310200-1 (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 1790032258

Pretina Maddox's National Provider Identifier is 1790032258, issued on Aug 14, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Arverne, NY. The record was last updated on Aug 14, 2012.