Herute-amlak Extavour, LPN is a licensed practical nurse in Staten Island, 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. Herute-amlak Extavour, LPN NPI is 1215318498. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
350 VANDERBILT AVE APT 6D
STATEN ISLAND, NY
ZIP 10304-537
Phone: (347) 797-8726
The enumeration date for this NPI number is 6/14/2015 and was last updated on 6/14/2015.