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AXEN THEODORE
NPI 1497130223
Licensed Practical Nurse in Baldwin, NY

Active since July 22, 2015
3325 BERTHA DR, BALDWIN, NY 11510(347) 821-2582 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Axen Theodore NPPES

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

AXEN THEODORE (NPI 1497130223) is an individual licensed practical nurse in Baldwin, New York, licensed in New York (309721) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1497130223
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameAXEN THEODORE
Location Address3325 BERTHA DRBaldwin, NY 11510-5006
Mailing Address3325 Bertha DrBaldwin, NY 11510-5006 · (347) 821-2582
Phone(347) 821-2582
Sole ProprietorNo
Enumeration DateJuly 22, 2015
✔ NPI 1497130223 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 · 309721
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.
3325 BERTHA DR, Baldwin, NY 11510
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Other Providers at the Same Location NPPES 3

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

BEVERLY TUCKER-FILS
Registered Nurse
3325 BERTHA DR
BALDWIN, NY 11510
Nassau County (347) 821-2582
LUSASCHA TAYLOR
Licensed Practical Nurse
3325 BERTHA DR
BALDWIN, NY 11510
Nassau County (347) 821-2582
GUERRYE SAINTIDOR
Licensed Practical Nurse
3325 BERTHA DR
BALDWIN, NY 11510
Nassau County (347) 821-2582

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 Axen Theodore's NPI number?

The NPI number for Axen Theodore is 1497130223. It was assigned to this individual provider in the NPPES registry on July 22, 2015.

Where is Axen Theodore located?

Axen Theodore practices at 3325 Bertha Dr, Baldwin, NY 11510. The listed phone number is (347) 821-2582.

What is Axen Theodore'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 Axen Theodore was last updated on July 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.