THEA WATERS LPN - NPI 1770288953 - Licensed Practical Nurse in Atlantic City, NJ

Q: What is the provider's specialty?

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

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About Thea Waters Lpn NPPES

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

THEA WATERS LPN (NPI 1770288953) is an individual licensed practical nurse in Atlantic City, New Jersey, licensed in New Jersey (26NP06310100) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1770288953

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTHEA WATERSCredential: LPN

Location Address1101 ATLANTIC AVEAtlantic City, NJ 08401-4805

Mailing Address24 Frambes AvePleasantville, NJ 08232-3305 · (609) 328-8484

Phone(609) 344-2700

Sole ProprietorYes

Enumeration DateApril 5, 2023

NPPES CertifiedApril 5, 2023

✔ NPI 1770288953 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 NJ · 26NP06310100

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.

1101 ATLANTIC AVE, Atlantic City, NJ 08401

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