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Justine Ivan
Licensed Practical Nurse in Poughkeepsie, New York
NPI 1295338739

Justine Ivan is a Licensed Practical Nurse based in Poughkeepsie, NY. Justine Ivan practices in Poughkeepsie, NY. The NPI Number for Justine Ivan is 1295338739 and holds a License No. 30775901 (New York).

The current practice location address for Justine Ivan is 15 Bobrick Rd, Poughkeepsie, NY and can be reached out via phone at 718-510-2058.

Location: 15 Bobrick Rd, Poughkeepsie, NY, 12601-5107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295338739
Provider Name
Justine Ivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
15 Bobrick Rd, Poughkeepsie, NY, 12601-5107
Phone Number
718-510-2058
Fax Number
Provider Enumeration Date
11/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15 Bobrick Rd
City
Poughkeepsie
State
New York
Zip
12601-5107
Phone Number
718-510-2058
Fax Number
person
Provider Business Mailing Address Details
Address
15 Bobrick Rd
City
Poughkeepsie
State
New York
Zip
12601-5107
Phone Number
718-510-2058
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
30775901 (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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