RENEE VICSAMA
NPI 1821736653
Licensed Practical Nurse in Spring Valley, NY
- Individual
- Female
- Licensed Practical Nurse
About RENEE VICSAMA
This page provides the complete NPI Profile along with additional information for Renee Vicsama, a provider established in Spring Valley, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1821736653 assigned on May 2022. The practitioner's primary taxonomy code is 164W00000X with license number 343835 (NY). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1821736653 Verify this NPI
- Provider Name
- RENEE VICSAMA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 150 W ECKERSON RD SPRING VALLEY, NY 10977
- Location Phone
- (845) 480-9195
- Mailing Address
- 150 W ECKERSON RD SPRING VALLEY, NY 10977
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-23-2022
- Last Update Date
- 05-23-2022
- 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.
- 343835
- License State
- NY
- 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 1821736653, enumerated as an "individual" on May 23, 2022.
The provider is located at 150 W ECKERSON RD SPRING VALLEY, NY 10977 and the phone number is (845) 480-9195.
Licensed Practical Nurse with taxonomy code 164W00000X.
