Individual provider · Type 1 NPI
Victoria Dickerson
Licensed Practical Nurse · Medford, NY
NPI number
1902550775
Active
Practice location
29 Seymour Ln
Medford, NY 11763-1060
Mailing address
172 Overlook Dr
Farmingville, NY 11738-3114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 348108 (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 1902550775
Victoria Dickerson's National Provider Identifier is 1902550775, issued on Feb 9, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Medford, NY. The record was last updated on Jan 12, 2024.