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Miss Marie Maude Thelisma, LPN
Licensed Practical Nurse in Valley Stream, New York
NPI 1083953459

Marie Maude Thelisma is a Licensed Practical Nurse based in Jamaica, NY. Marie Maude Thelisma practices in Valley Stream, NY and has the professional credentials of LPN. The NPI Number for Marie Maude Thelisma is 1083953459 and holds a License No. 311387-1 (New York).

The current practice location address for Marie Maude Thelisma is 13 Cleveland Street, Valley Stream, NY and can be reached out via phone at 718-529-3019 and via fax at 718-529-3019.

Location: 13 Cleveland Street, Valley Stream, NY, 11436-1151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083953459
Provider Name
Marie Maude Thelisma
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
13 Cleveland Street, Valley Stream, NY, 11436-1151
Phone Number
718-529-3019
Fax Number
718-529-3019
Provider Enumeration Date
02/05/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
311387-1 01 NY LPN
institution
Provider Business Practice Location Address Details
Address
13 Cleveland Street
City
Valley Stream
State
New York
Zip
11580
Phone Number
718-529-3019
Fax Number
718-529-3019
person
Provider Business Mailing Address Details
Address
13 Cleveland Street
City
Valley Stream
State
New York
Zip
11580
Phone Number
718-529-3019
Fax Number
718-529-3019
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
311387-1 (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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