FABRICE DA'VAL GANTT LPN NPI 1639749500

NPI Information

Fabrice Da'val Gantt, LPN is a licensed practical nurse in Brooklyn, NY. The provider is an individual 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. Fabrice Da'val Gantt, LPN NPI is 1639749500. 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:

261 9TH ST
BROOKLYN, NY
ZIP 11215-905
Phone: (718) 369-3812

The enumeration date for this NPI number is 7/1/2021 and was last updated on 7/1/2021.

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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