Axen Theodore is a Licensed Practical Nurse based in Baldwin, NY. Axen Theodore practices in Baldwin, NY. The NPI Number for Axen Theodore is 1497130223 and holds a License No. 309721 (New York).
The current practice location address for Axen Theodore is 3325 Bertha Dr, Baldwin, NY and can be reached out via phone at 347-821-2582.
Location: 3325 Bertha Dr, Baldwin, NY, 11510-5006
Provider Profile Details
NPI Number
1497130223
Provider Name
Axen Theodore
Credential
Provider Entity Type
Individual
Gender
Male
Address
3325 Bertha Dr, Baldwin, NY, 11510-5006
Phone Number
347-821-2582
Fax Number
Provider Enumeration Date
07/22/2015
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
3325 Bertha Dr
City
State
Zip
11510-5006
Phone Number
347-821-2582
Fax Number
Provider Business Mailing Address Details
Address
3325 Bertha Dr
City
State
Zip
11510-5006
Phone Number
347-821-2582
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
309721 (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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