Michelle Vincent LPN

NPI 1063806396 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1063806396
Gender Female
Enumeration Date 03/25/2015
Last Updated 03/25/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
63 STRAFFORD ST
MASTIC NY, 11950-4526, US
Phone (631) 871-3379
Fax
Business Location
63 STRAFFORD ST
MASTIC NY, 11950-4526, US
Phone (631) 871-3379
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 321025
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According to our database, Michelle Vincent LPN NPI is 1063806396, taxonomy code is 164W00000X and license number is 321025, license state is located at New York. Michelle Vincent LPN physically located at 63 Strafford St, Mastic NY, 11950-4526. NPI Number Michelle Vincent LPN has the Individual type.

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1063806396 NPI number is provided on an as is basis without warranty of any kind. 1063806396 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Vincent LPN are for informational purposes only.