Individual provider · Type 1 NPI

Kimberly Michelle Tadeo Martinez, LPN

Licensed Practical Nurse · Staten Island, NY

NPI number 1891379053 Active

Practice location

170 Vanderbilt Ave Apt 1G
Staten Island, NY 10304-2573

Call (347) 692-7561 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X329538 (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 1891379053

Kimberly Michelle Tadeo Martinez, LPN's National Provider Identifier is 1891379053, issued on May 12, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Staten Island, NY. The record was last updated on May 12, 2021.