Marcia Roxanne Hercules, LPN
Licensed Practical Nurse in Brentwood, NY. Individual provider (NPI-1).
NPI number1154595643
StatusActive
Last updated in NPPESApr 16, 2008
Details
- NPI
- 1154595643
- Entity type
- Individual (NPI-1)
- Name
- Marcia Roxanne Hercules
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2008
- Last updated
- Apr 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 281269-1 | NY | Yes |
Practice location
14 Eisenhower AveBrentwood, NY 11717-3317
Phone 631-813-2371
Mailing address
14 Eisenhower AveBrentwood, NY 11717-3317
Phone 631-813-2371
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