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Nelson C Virtusio, LPN

Licensed Practical Nurse in Bergenfield, NJ. Individual provider (NPI-1).

NPI number1043652001
StatusActive
Last updated in NPPESJul 18, 2013

Details

NPI
1043652001
Entity type
Individual (NPI-1)
Name
Mr. Nelson C Virtusio
Credential
LPN
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 18, 2013
Last updated
Jul 18, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse313959-1NYYes

Practice location

11 Carlisle St
Bergenfield, NJ 07621-1603

Phone 201-888-4750

Mailing address

11 Carlisle St
Bergenfield, NJ 07621-1603

Phone 201-888-4750

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