person
Raven Gonzalez
Licensed Practical Nurse in Shirley, New York
NPI 1083014294

Raven Gonzalez is a Licensed Practical Nurse based in Shirley, NY. Raven Gonzalez practices in Shirley, NY. The NPI Number for Raven Gonzalez is 1083014294 and holds a License No. 319600 (New York).

The current practice location address for Raven Gonzalez is 87 Northern Blvd, Shirley, NY and can be reached out via phone at 631-357-6892.

Location: 87 Northern Blvd, Shirley, NY, 11967-2320
person
Provider Profile Details
NPI Number
1083014294
Provider Name
Raven Gonzalez
Credential
Provider Entity Type
Individual
Gender
Female
Address
87 Northern Blvd, Shirley, NY, 11967-2320
Phone Number
631-357-6892
Fax Number
Provider Enumeration Date
08/26/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
87 Northern Blvd
City
State
Zip
11967-2320
Phone Number
631-357-6892
Fax Number
person
Provider Business Mailing Address Details
Address
87 Northern Blvd
City
State
Zip
11967-2320
Phone Number
631-357-6892
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
319600 (New York)
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.
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