OLIVE MADDIX LPN
NPI 1700305349
Licensed Practical Nurse in Staten Island, NY

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since September 14, 2017

1477 HYLAN BLVD, STATEN ISLAND, NY 10305(718) 979-6900 Get Directions Write a Review

NPPES record last updated: September 14, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Olive Maddix Lpn NPPES

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

OLIVE MADDIX LPN (NPI 1700305349) is an individual licensed practical nurse in Staten Island, New York, licensed in New York (299570-1) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1700305349

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameOLIVE MADDIXCredential: LPN

Location Address1477 HYLAN BLVDStaten Island, NY 10305-1906

Mailing Address170a Continental PlStaten Island, NY 10303-1800 · (347) 264-9987 · Fax (718) 979-6940

Phone(718) 979-6900

Sole ProprietorYes

Enumeration DateSeptember 14, 2017

✔ NPI 1700305349 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 · 299570-1

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.

1477 HYLAN BLVD, Staten Island, NY 10305

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