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MR. SEAN ENGEBRETSEN
NPI 1790068328
Licensed Practical Nurse in Medford, NY

Active since September 20, 2011
15 PRIVATE RD, MEDFORD, NY 11763(631) 327-2492 Get Directions Write a Review

NPPES record last updated: September 20, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Sean Engebretsen NPPES

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

MR. SEAN ENGEBRETSEN (NPI 1790068328) is an individual licensed practical nurse in Medford, New York, licensed in New York (288008) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1790068328
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. SEAN ENGEBRETSEN
Location Address15 PRIVATE RDMedford, NY 11763-3723
Mailing Address15 Private RdMedford, NY 11763-3723
Phone(631) 327-2492
Sole ProprietorYes
Enumeration DateSeptember 20, 2011
✔ NPI 1790068328 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 · 288008
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.
15 PRIVATE RD, Medford, NY 11763
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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 Sean Engebretsen's NPI number?

The NPI number for Sean Engebretsen is 1790068328. It was assigned to this individual provider in the NPPES registry on September 20, 2011.

Where is Sean Engebretsen located?

Sean Engebretsen practices at 15 Private Rd, Medford, NY 11763. The listed phone number is (631) 327-2492.

What is Sean Engebretsen'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 Sean Engebretsen was last updated on September 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.