REBECA MEDINA
NPI 1154553436
Licensed Practical Nurse in Bronx, NY

Active since August 20, 2009
2973 MICKLE AVENUE, #2, BRONX, NY 10469(347) 449-5147 Get Directions Write a Review

NPPES record last updated: August 20, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rebeca Medina NPPES

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

REBECA MEDINA (NPI 1154553436) is an individual licensed practical nurse in Bronx, New York, licensed in New York (297780) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1154553436
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameREBECA MEDINA
Location Address2973 MICKLE AVENUE, #2Bronx, NY 10469
Mailing Address2973 Mickle Avenue, #2Bronx, NY 10469 · (347) 449-5147
Sole ProprietorYes
Enumeration DateAugust 20, 2009
NPI 1154553436 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 · 297780
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.

2973 MICKLE AVENUE, Bronx, NY 10469

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154553436, enumerated as an "individual" on August 20, 2009.

The provider is located at 2973 MICKLE AVENUE #2 BRONX, NY 10469 and the phone number is (347) 449-5147.

Licensed Practical Nurse with taxonomy code 164W00000X.