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Julissa Abigail Villalta Martinez
Licensed Practical Nurse in Brentwood, New York
NPI 1285402933

Julissa Abigail Villalta Martinez is a Licensed Practical Nurse based in Brentwood, NY. Julissa Abigail Villalta Martinez practices in Brentwood, NY. The NPI Number for Julissa Abigail Villalta Martinez is 1285402933 and holds a License No. 349090-01 (New York).

The current practice location address for Julissa Abigail Villalta Martinez is 5 Clarke St, Brentwood, NY and can be reached out via phone at 631-575-9450.

Location: 5 Clarke St, Brentwood, NY, 11717-2001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285402933
Provider Name
Julissa Abigail Villalta Martinez
Credential
Provider Entity Type
Individual
Gender
Female
Address
5 Clarke St, Brentwood, NY, 11717-2001
Phone Number
631-575-9450
Fax Number
Provider Enumeration Date
12/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5 Clarke St
City
Brentwood
State
New York
Zip
11717-2001
Phone Number
631-575-9450
Fax Number
person
Provider Business Mailing Address Details
Address
5 Clarke St
City
Brentwood
State
New York
Zip
11717-2001
Phone Number
631-575-9450
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
349090-01 (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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