Individual provider · Type 1 NPI

Tamara Lynnette Bolton

Licensed Practical Nurse · Deer Park, NY

NPI number 1932490810 Active

Practice location

1806 Deer Park Ave
Deer Park, NY 11729-4301

Call (631) 940-8266 Map

Mailing address

1806 Deer Park Avenue
Deer Park, NY 11729

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X301139-1 (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.

2 other providers at this address

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About NPI 1932490810

Tamara Lynnette Bolton's National Provider Identifier is 1932490810, issued on Apr 26, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Deer Park, NY. The record was last updated on Apr 26, 2011.