EVELYN BAZAN LPN
NPI 1174498380
Licensed Practical Nurse in Staten Island, NY

Q: What is the provider's specialty?

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

Active since October 07, 2025

26 DUMONT AVE, STATEN ISLAND, NY 10305(718) 667-4282(718) 744-9067 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Evelyn Bazan Lpn NPPES

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

EVELYN BAZAN LPN (NPI 1174498380) is an individual licensed practical nurse in Staten Island, New York, licensed in New York (350735) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1174498380

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameEVELYN BAZANCredential: LPN

Location Address26 DUMONT AVEStaten Island, NY 10305-1450

Mailing Address33 Laconia AveStaten Island, NY 10305-2413

Phone(718) 667-4282

Fax(718) 744-9067

Sole ProprietorNo

Enumeration DateOctober 7, 2025

NPPES CertifiedOctober 7, 2025

✔ NPI 1174498380 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 · 350735

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.

26 DUMONT AVE, Staten Island, NY 10305

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