Individual provider · Type 1 NPI

Dominique Champion

Licensed Practical Nurse · Farmingdale, NY

NPI number 1790321180 Active

Practice location

81 Lincoln Ave
Farmingdale, NY 11735-6843

Call (631) 882-5793 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X330577-1 (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 1790321180

Dominique Champion's National Provider Identifier is 1790321180, issued on Nov 21, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Farmingdale, NY. The record was last updated on Nov 21, 2019.