DIANE NICKERSON LPN - NPI 1780831263 - Licensed Practical Nurse in Patchogue, NY

Q: What is the provider's specialty?

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

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About Diane Nickerson Lpn NPPES

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

DIANE NICKERSON LPN (NPI 1780831263) is an individual licensed practical nurse in Patchogue, New York, licensed in New York (238095) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1780831263

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameDIANE NICKERSONCredential: LPN

Location Address2 MAINSAIL DRPatchogue, NY 11772-3409

Mailing Address2 Mainsail DrPatchogue, NY 11772-3409 · (631) 569-5135

Phone(631) 569-5135

Sole ProprietorYes

Enumeration DateAugust 26, 2008

✔ NPI 1780831263 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 · 238095

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.

2 MAINSAIL DR, Patchogue, NY 11772

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Frequently Asked Questions

What is Diane Nickerson's NPI number?

The NPI number assigned to this healthcare provider is 1780831263, enumerated as an "individual" on August 26, 2008.

Where is the provider located?

The provider is located at 2 MAINSAIL DR PATCHOGUE, NY 11772 and the phone number is (631) 569-5135.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.