FANTA DIALLO
NPI 1972908911
Licensed Practical Nurse in Bronx, NY

Active since November 04, 2014
1423 TELLER AVE, 1K, BRONX, NY 10456(347) 781-3761 Get Directions Write a Review

NPPES record last updated: November 4, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fanta Diallo NPPES

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

FANTA DIALLO (NPI 1972908911) is an individual licensed practical nurse in Bronx, New York, licensed in New York (308350-1) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1972908911
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameFANTA DIALLO
Location Address1423 TELLER AVE, 1KBronx, NY 10456-1002
Mailing Address1423 Teller Ave, 1kBronx, NY 10456-1002 · (347) 781-3761
Sole ProprietorYes
Enumeration DateNovember 4, 2014
NPI 1972908911 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 · 308350-1
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.

1423 TELLER AVE, Bronx, NY 10456

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972908911, enumerated as an "individual" on November 04, 2014.

The provider is located at 1423 TELLER AVE 1K BRONX, NY 10456 and the phone number is (347) 781-3761.

Licensed Practical Nurse with taxonomy code 164W00000X.