Individual provider · Type 1 NPI

Nicketta Blair

Licensed Practical Nurse · Laurelton, NY

NPI number 1982183398 Active

Practice location

23214 Merrick Blvd
Laurelton, NY 11413-2115

Mailing address

7944 Cedarbrook Ave
Philadelphia, PA 19150-1326

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X328397-1 (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 1982183398

Nicketta Blair's National Provider Identifier is 1982183398, issued on Aug 8, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Laurelton, NY. The record was last updated on Aug 8, 2018.