Individual provider · Type 1 NPI
Domenica Elise Sparago, LPN
Licensed Practical Nurse · Massapequa, NY
NPI number
1932309101
Active
Practice location
1109 N Broadway
Massapequa, NY 11758-1504
Mailing address
2311 Pine St
Seaford, NY 11783-2921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 284307-1 (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 1932309101
Domenica Elise Sparago, LPN's National Provider Identifier is 1932309101, issued on Jul 24, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Massapequa, NY. The record was last updated on Oct 31, 2007.