Nicketta Blair
Licensed Practical Nurse in Laurelton, NY. Individual provider (NPI-1).
NPI number1982183398
StatusActive
Last updated in NPPESAug 8, 2018
Details
- NPI
- 1982183398
- Entity type
- Individual (NPI-1)
- Name
- Nicketta Blair
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2018
- Last updated
- Aug 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 328397-1 | NY | Yes |
Practice location
23214 Merrick BlvdLaurelton, NY 11413-2115
Phone 718-528-4375
Mailing address
7944 Cedarbrook AvePhiladelphia, PA 19150-1326
Phone 267-290-9194
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All 125 Licensed Practical Nurse providers in Laurelton · All 397 providers in Laurelton
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