MS. PAULINE VERONICA ILLIDGE
NPI 1346492378
Licensed Practical Nurse in Laurelton, NY

Active since October 22, 2008
23218 MERRICK BLVD, LAURELTON, NY 11413(718) 528-3432 Get Directions Write a Review

NPPES record last updated: October 22, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Pauline Veronica Illidge NPPES

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

MS. PAULINE VERONICA ILLIDGE (NPI 1346492378) is an individual licensed practical nurse in Laurelton, New York, licensed in New York (277392) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1346492378
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. PAULINE VERONICA ILLIDGE
Location Address23218 MERRICK BLVDLaurelton, NY 11413-2115
Mailing Address23218 Merrick BlvdLaurelton, NY 11413-2115 · (718) 528-3432
Sole ProprietorYes
Enumeration DateOctober 22, 2008
NPI 1346492378 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 · 277392
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.

23218 MERRICK BLVD, Laurelton, NY 11413

Other Identifiers 1

Medicaid010556898NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
23218 MERRICK BLVD
LAURELTON, NY 11413
Licensed Practical Nurse
23218 MERRICK BLVD
LAURELTON, NY 11413
Registered Nurse
23218 MERRICK BLVD
LAURELTON, NY 11413
Licensed Practical Nurse
23218 MERRICK BLVD
LAURELTON, NY 11413
Licensed Practical Nurse
23218 MERRICK BLVD
LAURELTON, NY 11413
Licensed Practical Nurse
23218 MERRICK BLVD
LAURELTON, NY 11413
Licensed Practical Nurse
23218 MERRICK BLVD
LAURELTON, NY 11413
Licensed Practical Nurse
23218 MERRICK BLVD
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 Pauline Illidge's NPI number?

The NPI number for Pauline Illidge is 1346492378. It was assigned to this individual provider in the NPPES registry on October 22, 2008.

Where is Pauline Illidge located?

Pauline Illidge practices at 23218 Merrick Blvd, Laurelton, NY 11413. The listed phone number is (718) 528-3432.

What is Pauline Illidge'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 Pauline Illidge was last updated on October 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.