Individual provider · Type 1 NPI
Susan Reandeau
Licensed Practical Nurse · Tupper Lake, NY
NPI number
1821493073
Active
Practice location
24 Blueberry Hill Rd
Tupper Lake, NY 12986-2528
Mailing address
PO Box 861
Tupper Lake, NY 12986-0861
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 205348-1 (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.
About NPI 1821493073
Susan Reandeau's National Provider Identifier is 1821493073, issued on Oct 30, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tupper Lake, NY. The record was last updated on Oct 30, 2014.