Individual provider · Type 1 NPI

Malaisia Fenner

Licensed Practical Nurse · Massapequa, NY

NPI number 1861334203 Active

Practice location

37 Robert Ave
Massapequa, NY 11758-3631

Call (929) 329-7910 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X348299 (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 1861334203

Malaisia Fenner's National Provider Identifier is 1861334203, issued on Apr 6, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Massapequa, NY. The record was last updated on Apr 6, 2026.