MARY BOLADALEJOHNSON NPI 1437615549

NPI Information

NPI: 1437615549
Provider Name: MARY BOLADALEJOHNSON
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
14711 223RD ST
SPRINGFIELD GARDENS, NY
ZIP 11413
Phone: (917) 935-3719
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Mary Boladalejohnson is a licensed practical nurse in Springfield Gardens, 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. Mary Boladalejohnson NPI is 1437615549. 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:

14711 223RD ST
SPRINGFIELD GARDENS, NY
ZIP 11413-143
Phone: (917) 935-3719

The enumeration date for this NPI number is 2/13/2019 and was last updated on 2/13/2019.

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		333484	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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