NADIRA DETLEFSEN LPN
NPI 1295198588
Licensed Practical Nurse in Mastic Beach, NY

Q: What is Nadira Detlefsen's NPI number?

The NPI number for Nadira Detlefsen is 1295198588. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Q: What is Nadira Detlefsen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nadira Detlefsen was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 04, 2016

136 WASHINGTON AVE, MASTIC BEACH, NY 11951(631) 295-4524 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nadira Detlefsen Lpn NPPES

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

NADIRA DETLEFSEN LPN (NPI 1295198588) is an individual licensed practical nurse in Mastic Beach, New York, licensed in New York (323393) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1295198588

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameNADIRA DETLEFSENCredential: LPN

Location Address136 WASHINGTON AVEMastic Beach, NY 11951-2208

Mailing Address136 Washington AveMastic Beach, NY 11951-2208 · (631) 295-4524

Phone(631) 295-4524

Sole ProprietorYes

Enumeration DateApril 4, 2016

✔ NPI 1295198588 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 · 323393

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.

136 WASHINGTON AVE, Mastic Beach, NY 11951

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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 Nadira Detlefsen's NPI number?

The NPI number for Nadira Detlefsen is 1295198588. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Nadira Detlefsen located?

Nadira Detlefsen practices at 136 Washington Ave, Mastic Beach, NY 11951. The listed phone number is (631) 295-4524.

What is Nadira Detlefsen'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 Nadira Detlefsen was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.