NEVADA STREET
NPI 1285082578
Licensed Practical Nurse in Staten Island, NY

Active since May 27, 2016
300A LOCKMAN AVE, STATEN ISLAND, NY 10303(718) 619-2386 Get Directions Write a Review

NPPES record last updated: May 27, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nevada Street NPPES

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

NEVADA STREET (NPI 1285082578) is an individual licensed practical nurse in Staten Island, New York, licensed in New York (310739-1) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1285082578
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameNEVADA STREET
Location Address300A LOCKMAN AVEStaten Island, NY 10303-1882
Mailing Address300a Lockman AveStaten Island, NY 10303-1882
Sole ProprietorYes
Enumeration DateMay 27, 2016
NPI 1285082578 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 · 310739-1
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.

300A LOCKMAN AVE, Staten Island, NY 10303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285082578, enumerated as an "individual" on May 27, 2016.

The provider is located at 300A LOCKMAN AVE STATEN ISLAND, NY 10303 and the phone number is (718) 619-2386.

Licensed Practical Nurse with taxonomy code 164W00000X.