MARY PATRICIA ODOHERTY LPN
NPI 1356654792
Licensed Practical Nurse in Kew Gardens Hills, NY
- Individual
- Female
- Licensed Practical Nurse
About MARY ODOHERTY
This page provides the complete NPI Profile along with additional information for Mary Odoherty, a provider established in Kew Gardens Hills, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1356654792 assigned on July 2010. The practitioner's primary taxonomy code is 164W00000X with license number 239868-1 (NY). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1356654792 Verify this NPI
- Provider Name
- MARY PATRICIA ODOHERTY LPN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 13665 68TH DR KEW GARDENS HILLS, NY 11367
- Location Phone
- (718) 897-1581
- Mailing Address
- 13665 68TH DRIVE KEW GARDENS HILLS, NY 11367
- Mailing Phone
- (718) 897-1581
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-14-2010
- Last Update Date
- 07-14-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 239868-1
- License State
- NY
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356654792, enumerated as an "individual" on July 14, 2010.
The provider is located at 13665 68TH DR KEW GARDENS HILLS, NY 11367 and the phone number is (718) 897-1581.
Licensed Practical Nurse with taxonomy code 164W00000X.
