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Kimberly Susan Tillett
Licensed Practical Nurse in Dix Hills, New York
NPI 1275011835

Kimberly Susan Tillett is a Licensed Practical Nurse based in Dix Hills, NY. Kimberly Susan Tillett practices in Dix Hills, NY. The NPI Number for Kimberly Susan Tillett is 1275011835 and holds a License No. 292835-1 (New York).

The current practice location address for Kimberly Susan Tillett is 22 Millet St., Dix Hills, NY and can be reached out via phone at 631-205-8541.

Location: 22 Millet St., Dix Hills, NY, 11746-8108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275011835
Provider Name
Kimberly Susan Tillett
Credential
Provider Entity Type
Individual
Gender
Female
Address
22 Millet St., Dix Hills, NY, 11746-8108
Phone Number
631-205-8541
Fax Number
Provider Enumeration Date
08/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22 Millet St.
City
Dix Hills
State
New York
Zip
11746
Phone Number
631-205-8541
Fax Number
person
Provider Business Mailing Address Details
Address
22 Millet St.
City
Dix Hills
State
New York
Zip
11746
Phone Number
631-205-8541
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
292835-1 (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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