Individual provider · Type 1 NPI

Lissa Emmanuella Mathieu, LPN

Licensed Practical Nurse · Queens Village, NY

NPI number 1962074062 Active

Practice location

22121 Jamaica Ave Fl 2
Queens Village, NY 11428-2015

Call (718) 468-6923 Map

Fax (718) 468-6925

Mailing address

1280 E 84th St Fl 1
Brooklyn, NY 11236-4912

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	340261 (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.

3 other providers at this address

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About NPI 1962074062

Lissa Emmanuella Mathieu, LPN's National Provider Identifier is 1962074062, issued on Jul 16, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Queens Village, NY. The record was last updated on Jul 16, 2021.