Gloria Beatty LPN

NPI 1306066675 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1306066675
Gender Female
Enumeration Date 04/27/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1950 CLOVE RD APT 636
STATEN ISLAND NY, 10304-1642, US
Phone (917) 862-5215
Fax (718) 347-4643
Business Location
PO BOX 20838
FLORAL PARK NY, 11002-0838, US
Phone (917) 862-5215
Fax (718) 347-4643
Taxonomy Code 164W00000X
License State New York
License Number 125288-1
Remove 1306066675 NPI Number

According to our database, Gloria Beatty LPN NPI is 1306066675, taxonomy code is 164W00000X and license number is 125288-1, license state is located at New York. Gloria Beatty LPN physically located at 1950 Clove Rd Apt 636, Staten Island NY, 10304-1642. NPI Number Gloria Beatty LPN has the Individual type.

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1306066675 NPI number is provided on an as is basis without warranty of any kind. 1306066675 is maintained by the National Plan & Provider Enumeration System. The contents of Gloria Beatty LPN are for informational purposes only.