Individual provider · Type 1 NPI
Manoucheka Charlemagne
Licensed Practical Nurse · Randolph, MA
NPI number
1992590079
Active
Practice location
19 Grove Ave
Randolph, MA 02368-2603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LN91156 (MA) |
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 1992590079
Manoucheka Charlemagne's National Provider Identifier is 1992590079, issued on Apr 10, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Randolph, MA. The record was last updated on Apr 10, 2025.