AMANDA G GLEASON LPN NPI 1215471081

NPI Information

NPI: 1215471081
Provider Name: AMANDA G GLEASON, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
2375 MOTOR PKWY
RONKONKOMA, NY
ZIP 11779
Phone: (631) 672-3886
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Amanda G Gleason, LPN is a licensed practical nurse in Ronkonkoma, 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. Amanda G Gleason, LPN NPI is 1215471081. 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:

2375 MOTOR PKWY
RONKONKOMA, NY
ZIP 11779-724
Phone: (631) 672-3886

The enumeration date for this NPI number is 12/13/2016 and was last updated on 12/13/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		327753	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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