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Mica Walthall, LPN
Licensed Practical Nurse in Patchogue, New York
NPI 1417220625

Mica Walthall is a Licensed Practical Nurse based in Patchogue, NY. Mica Walthall practices in Patchogue, NY and has the professional credentials of LPN. The NPI Number for Mica Walthall is 1417220625 and holds a License No. 270772 (New York).

The current practice location address for Mica Walthall is 2 Maler Ln, Patchogue, NY and can be reached out via phone at 631-639-6682.

Location: 2 Maler Ln, Patchogue, NY, 11772-3558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417220625
Provider Name
Mica Walthall
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
2 Maler Ln, Patchogue, NY, 11772-3558
Phone Number
631-639-6682
Fax Number
Provider Enumeration Date
02/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2 Maler Ln
City
Patchogue
State
New York
Zip
11772-3558
Phone Number
631-639-6682
Fax Number
person
Provider Business Mailing Address Details
Address
2 Maler Ln
City
Patchogue
State
New York
Zip
11772-3558
Phone Number
631-639-6682
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
270772 (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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