Tara Hallenback, LPN
Licensed Practical Nurse in Hicksville, NY. Individual provider (NPI-1).
NPI number1346554128
StatusActive
Last updated in NPPESAug 4, 2010
Details
- NPI
- 1346554128
- Entity type
- Individual (NPI-1)
- Name
- Tara Hallenback
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 4, 2010
- Last updated
- Aug 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 10-299641 | NY | Yes |
Practice location
372 Woodbury RdHicksville, NY 11801-3036
Phone 516-761-0298
Mailing address
372 Woodbury RdHicksville, NY 11801-3036
Phone 516-761-0298
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All 29 Licensed Practical Nurse providers in Hicksville · All 1,866 providers in Hicksville
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