Individual provider · Type 1 NPI

Jully A. Vanegas

Licensed Practical Nurse · Stony Brook, NY

NPI number 1881516482 Active

Practice location

1161 N Country Rd
Stony Brook, NY 11790-1915

Call (631) 314-8368 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X357343 (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 1881516482

Jully A. Vanegas's National Provider Identifier is 1881516482, issued on Jul 27, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Stony Brook, NY. The record was last updated on Jul 27, 2026.