MISS ALISSA IERVESE
NPI 1063899292
Licensed Practical Nurse in Wading River, NY

Active since April 27, 2015
9 HIDDEN PHEASANT PATH, WADING RIVER, NY 11792(631) 316-9062 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About ALISSA IERVESE

This page provides the complete NPI Profile along with additional information for Alissa Iervese, a provider established in Wading River, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1063899292 assigned on April 2015. The practitioner's primary taxonomy code is 164W00000X with license number 315669-1 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1063899292 Verify this NPI
Provider Name
MISS ALISSA IERVESE
Gender
Female
Entity Type
Individual
Location Address
9 HIDDEN PHEASANT PATH WADING RIVER, NY 11792
Location Phone
(631) 316-9062
Mailing Address
9 HIDDEN PHEASANT PATH WADING RIVER, NY 11792
Mailing Phone
(631) 316-9062
Is Sole Proprietor?
No
Enumeration Date
04-27-2015
Last Update Date
04-27-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
315669-1
License State
NY
Taxonomy Description
A licensed practical nurse 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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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063899292, enumerated as an "individual" on April 27, 2015.

The provider is located at 9 HIDDEN PHEASANT PATH WADING RIVER, NY 11792 and the phone number is (631) 316-9062.

Licensed Practical Nurse with taxonomy code 164W00000X.