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Mr. Robert Paul Edgar, LPN
Licensed Practical Nurse in Black River, New York
NPI 1235338799

Robert Paul Edgar is a Licensed Practical Nurse based in Watertown, NY. Robert Paul Edgar practices in Black River, NY and has the professional credentials of LPN. The NPI Number for Robert Paul Edgar is 1235338799 and holds a License No. 226744-1 (New York).

The current practice location address for Robert Paul Edgar is 30204 State Route 3, Black River, NY and can be reached out via phone at 315-773-9012.

Location: 30204 State Route 3, Black River, NY, 13601-3411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235338799
Provider Name
Robert Paul Edgar
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
30204 State Route 3, Black River, NY, 13601-3411
Phone Number
315-773-9012
Fax Number
Provider Enumeration Date
07/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02457972 05 NY
institution
Provider Business Practice Location Address Details
Address
30204 State Route 3
City
Black River
State
New York
Zip
13612-2091
Phone Number
315-773-9012
Fax Number
person
Provider Business Mailing Address Details
Address
30204 State Route 3
City
Black River
State
New York
Zip
13612-2091
Phone Number
315-773-9012
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
226744-1 (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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