MR. ELVIS EKOHLUTORMI IDUSERI LPN NPI 1356646368

NPI Information

MR. Elvis Ekohlutormi Iduseri, LPN is a licensed practical nurse in Bronx, NY. The provider is 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. MR. Elvis Ekohlutormi Iduseri, LPN NPI is 1356646368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1914 ADEE AVE
PH
BRONX, NY
ZIP 10469-222
Phone: (718) 309-4987

The enumeration date for this NPI number is 1/22/2011 and was last updated on 1/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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