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Julio Polanco Taveras
Licensed Practical Nurse in Stamford, Connecticut
NPI 1316620313

Julio Polanco Taveras is a Licensed Practical Nurse based in Stamford, CT. Julio Polanco Taveras practices in Stamford, CT. The NPI Number for Julio Polanco Taveras is 1316620313 and holds a License No. 340160 (Connecticut).

The current practice location address for Julio Polanco Taveras is 180 Broad St Apt 1241, Stamford, CT and can be reached out via phone at 845-200-8233.

Location: 180 Broad St Apt 1241, Stamford, CT, 06901-5004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316620313
Provider Name
Julio Polanco Taveras
Credential
Provider Entity Type
Individual
Gender
Male
Address
180 Broad St Apt 1241, Stamford, CT, 06901-5004
Phone Number
845-200-8233
Fax Number
Provider Enumeration Date
08/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
180 Broad St Apt 1241
City
Stamford
State
Connecticut
Zip
06901-5004
Phone Number
845-200-8233
Fax Number
person
Provider Business Mailing Address Details
Address
180 Broad St Apt 1241
City
Stamford
State
Connecticut
Zip
06901-5004
Phone Number
845-200-8233
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
340160 (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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