Doctor Name: | AMANDA T L DELAROSA |
NPI Number: | 1801125026 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | 291888 |
Business Practice Address: | 57 Misty Pond Cir Apt 7 Moriches, NY - 119551125 |
Business Phone Number: | 6316262541 |
Business Fax Number: | |
Mailing Address: | 57 Misty Pond Cir, Apt 7 MORICHES |
State: | NY |
Postal Code: | 119551125 |
Phone Number: | 6316262541 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2009 |
NPI Last Update Date: | 12/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 291888 |
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. |