Individual provider · Type 1 NPI

Osamokpuwa Erhabor

Licensed Practical Nurse · Port Jefferson Station, NY

NPI number 1841535994 Active

Practice location

1010 Route 112
Port Jefferson Station, NY 11776-3387

Call (631) 473-1200 Map

Mailing address

26 Van Riper St
Staten Island, NY 10302-1943

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X280744 (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 1841535994

Osamokpuwa Erhabor's National Provider Identifier is 1841535994, issued on Nov 30, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Nov 30, 2012.