Individual provider · Type 1 NPI

Medesa Shavell Garrett, LPN

Licensed Practical Nurse · South Ozone Park, NY

NPI number 1912412776 Active

Practice location

11440 Van Wyck Expy
South Ozone Park, NY 11420-2229

Call (718) 322-3455 Map

Fax (718) 848-4152

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2849000 (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 1912412776

Medesa Shavell Garrett, LPN's National Provider Identifier is 1912412776, issued on Dec 2, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in South Ozone Park, NY. The record was last updated on Dec 2, 2017.