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Cheyenne Slack, LPN
Licensed Practical Nurse in Northport, New York
NPI 1386236818

Cheyenne Slack is a Licensed Practical Nurse based in Bay Shore, NY. Cheyenne Slack practices in Northport, NY and has the professional credentials of LPN. The NPI Number for Cheyenne Slack is 1386236818 and holds a License No. 340734 (New York).

The current practice location address for Cheyenne Slack is 23 Brittany Ct, Northport, NY and can be reached out via phone at 631-834-5420.

Location: 23 Brittany Ct, Northport, NY, 11706-4108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386236818
Provider Name
Cheyenne Slack
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
23 Brittany Ct, Northport, NY, 11706-4108
Phone Number
631-834-5420
Fax Number
Provider Enumeration Date
02/05/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12345678 01 12345678
340734 01 NY NEW YORK
institution
Provider Business Practice Location Address Details
Address
23 Brittany Ct
City
Northport
State
New York
Zip
11768-3225
Phone Number
631-834-5420
Fax Number
person
Provider Business Mailing Address Details
Address
23 Brittany Ct
City
Northport
State
New York
Zip
11768-3225
Phone Number
631-834-5420
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
340734 (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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