Individual provider · Type 1 NPI

Vivinique Mayben

Licensed Practical Nurse · Rensselaer, NY

NPI number 1821574724 Active

Practice location

87 Washington St
Rensselaer, NY 12144-2613

Call (518) 449-1142 Map

Mailing address

20 Pinewood Ave Apt 2
Albany, NY 12208-2712

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X329744 (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 1821574724

Vivinique Mayben's National Provider Identifier is 1821574724, issued on Jul 13, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rensselaer, NY. The record was last updated on Jul 13, 2018.