Individual provider · Type 1 NPI

Alicia Rustvold, LPN

Licensed Practical Nurse · Blue Point, NY

NPI number 1982078036 Active

Practice location

84 Eatondale Ave
Blue Point, NY 11715-1026

Call (631) 682-0498 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X260421 (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 1982078036

Alicia Rustvold, LPN's National Provider Identifier is 1982078036, issued on Nov 30, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Blue Point, NY. The record was last updated on Nov 30, 2015.