MISS AUDREY LYN HENDRICKS-ELLISTON - NPI 1861852956 - Licensed Practical Nurse in Bronx, 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 Miss Audrey Lyn Hendricks-elliston NPPES

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

MISS AUDREY LYN HENDRICKS-ELLISTON (NPI 1861852956) is an individual licensed practical nurse in Bronx, New York, licensed in New York (296537-1) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1861852956

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMISS AUDREY LYN HENDRICKS-ELLISTON

Location Address3511 BARNES AVE, TILDEN TOWERS 1 APT 6GBronx, NY 10467-6031

Mailing AddressPo Box 1103Bronx, NY 10466-0563 · (718) 519-0515 · Fax (718) 519-0515

Phone(718) 519-0515

Fax(718) 519-0515

Sole ProprietorYes

Enumeration DateMarch 2, 2016

✔ NPI 1861852956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

Licenses✔ Licensed in NY · 296537-1✔ Licensed in NY · 2965371

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.

3511 BARNES AVE, Bronx, NY 10467

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