CLARISSA VICTORIA TRADER
NPI 1669054615
Licensed Practical Nurse in Pocomoke City, MD
- Individual
- Female
- Licensed Practical Nurse
About CLARISSA TRADER
This page provides the complete NPI Profile along with additional information for Clarissa Trader, a provider established in Pocomoke City, Maryland with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1669054615 assigned on April 2021. The practitioner's primary taxonomy code is 164W00000X with license number 0002097361 (VA). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1669054615 Verify this NPI
- Provider Name
- CLARISSA VICTORIA TRADER
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1532 OCEAN HWY POCOMOKE CITY, MD 21851
- Location Phone
- (443) 437-7128
- Location Fax
- (443) 437-7131
- Mailing Address
- 3564 NAVIGATOR DR GREENBACKVILLE, VA 23356
- Mailing Phone
- (757) 894-8941
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-28-2021
- Last Update Date
- 04-28-2021
- 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.
- 0002097361
- License State
- VA
- 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 1669054615, enumerated as an "individual" on April 28, 2021.
The provider is located at 1532 OCEAN HWY POCOMOKE CITY, MD 21851 and the phone number is (443) 437-7128.
Licensed Practical Nurse with taxonomy code 164W00000X.