IFEYINWA EZISSI LPN
NPI 1104397561
Licensed Practical Nurse in Laurelton, NY

Active since December 11, 2018
13735 219TH ST, LAURELTON, NY 11413(347) 494-3263 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ifeyinwa Ezissi Lpn NPPES

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

IFEYINWA EZISSI LPN (NPI 1104397561) is an individual licensed practical nurse in Laurelton, New York, licensed in New York (334151) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1104397561
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameIFEYINWA EZISSICredential: LPN
Location Address13735 219TH STLaurelton, NY 11413-2244
Mailing Address13735 219th StLaurelton, NY 11413-2244 · (347) 494-3263
Sole ProprietorYes
Enumeration DateDecember 11, 2018
NPI 1104397561 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 · 334151
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.
13735 219TH ST, Laurelton, NY 11413

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ifeyinwa Ezissi's NPI number?

The NPI number for Ifeyinwa Ezissi is 1104397561. It was assigned to this individual provider in the NPPES registry on December 11, 2018.

Where is Ifeyinwa Ezissi located?

Ifeyinwa Ezissi practices at 13735 219th St, Laurelton, NY 11413. The listed phone number is (347) 494-3263.

What is Ifeyinwa Ezissi's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Ifeyinwa Ezissi was last updated on December 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.