IVA BLACKBURN LPN - NPI 1083089478 - Licensed Practical Nurse in Williamsville, NY

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Iva Blackburn Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVA BLACKBURN LPN (NPI 1083089478) is an individual licensed practical nurse in Williamsville, New York, licensed in New York (322610) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1083089478

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameIVA BLACKBURNCredential: LPN

Location Address2250 WEHRLE DR, SUITE 1Williamsville, NY 14221-7034

Mailing Address2250 Wehrle Dr, Suite 1Williamsville, NY 14221-7034 · (716) 276-2123

Phone(716) 276-2123

Fax(716) 276-2129

Sole ProprietorNo

Enumeration DateDecember 10, 2015

✔ NPI 1083089478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 322610

Definition

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.

2250 WEHRLE DR, Williamsville, NY 14221

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