BRETT COLEMAN LASTRA RN BSN NPI 1417453358

NPI Information

NPI: 1417453358
Provider Name: BRETT COLEMAN LASTRA, RN, BSN
Classification: Registered Nurse - 163WI0600X
Entity Type: Individual

Specialization: Infection Control

Address:
1104 TEANECK RD
TEANECK, NJ
ZIP 07666
Phone: (201) 833-2400
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Brett Coleman Lastra, RN, BSN is an infection control registered nurse in Teaneck, NJ. Brett Coleman Lastra, RN, BSN NPI is 1417453358. 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:

1104 TEANECK RD
TEANECK, NJ
ZIP 07666-800
Phone: (201) 833-2400
Fax: (201) 837-0193

The enumeration date for this NPI number is 3/31/2018 and was last updated on 6/5/2023.

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	163WH0200X	Registered Nurse	Home Health	691840	NEW YORK	No
2	163W00000X	Registered Nurse		691840	NEW YORK	No
3	163WI0600X	Registered Nurse	Infection Control	26NR17447600	NEW JERSEY	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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