Doctor Name: | TIFANNIE HENRY |
NPI Number: | 1447407077 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | 282445 |
Business Practice Address: | 124 Beaver Dr Mastic Beach, NY - 119512806 |
Business Phone Number: | 6317296264 |
Business Fax Number: | |
Mailing Address: | 124 Beaver Dr, MASTIC BEACH |
State: | NY |
Postal Code: | 119512806 |
Phone Number: | 6317296264 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2008 |
NPI Last Update Date: | 08/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 282445 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |