Individual provider · Type 1 NPI

Betty Jean Nixdorf

Licensed Practical Nurse · Willow Street, PA

NPI number 1871052829 Active

Practice location

212 Willow Valley Lakes Dr Ste 208
Willow Street, PA 17584-9668

Fax (717) 740-4453

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000XPN107638 (PA)
Licensed Practical Nurse Primary 164W00000XPN107638L (PA)

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 1871052829

Betty Jean Nixdorf's National Provider Identifier is 1871052829, issued on Mar 19, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Willow Street, PA. The record was last updated on Mar 19, 2019.