Individual provider · Type 1 NPI

Lydia Rose Hickson

Licensed Practical Nurse · Ithaca, NY

NPI number 1982427381 Active

Practice location

310 Floral Ave Apt 502
Ithaca, NY 14850-5056

Call (607) 592-7777 Map

Mailing address

562 Elm St
Ithaca, NY 14850-3023

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X347486 (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 1982427381

Lydia Rose Hickson's National Provider Identifier is 1982427381, issued on Nov 4, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ithaca, NY. The record was last updated on Nov 4, 2024.