Individual provider · Type 1 NPI

Amanda Jessica Candiloro, LPN

Licensed Practical Nurse · Medford, NY

NPI number 1790200244 Active

Practice location

121 Oak St
Medford, NY 11763-4093

Call (631) 504-2173 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X320196 (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 1790200244

Amanda Jessica Candiloro, LPN's National Provider Identifier is 1790200244, issued on Aug 6, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Medford, NY. The record was last updated on Jul 21, 2022.