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Mrs. Kaleanna A Weatherup-otero, LPN
Licensed Practical Nurse in Theresa, New York
NPI 1497823389

Kaleanna A Weatherup-otero is a Licensed Practical Nurse based in Theresa, NY. Kaleanna A Weatherup-otero practices in Theresa, NY and has the professional credentials of LPN. The NPI Number for Kaleanna A Weatherup-otero is 1497823389 and holds a License No. 265843 (New York).

The current practice location address for Kaleanna A Weatherup-otero is 219 Pine Street, Theresa, NY and can be reached out via phone at 315-628-4214 and via fax at 315-628-4214.

Location: 219 Pine Street, Theresa, NY, 13691-2103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497823389
Provider Name
Kaleanna A Weatherup-otero
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
219 Pine Street, Theresa, NY, 13691-2103
Phone Number
315-628-4214
Fax Number
315-628-4214
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02168183 05 NY
institution
Provider Business Practice Location Address Details
Address
219 Pine Street
City
Theresa
State
New York
Zip
13691-0219
Phone Number
315-628-4214
Fax Number
315-628-4214
person
Provider Business Mailing Address Details
Address
219 Pine Street
City
Theresa
State
New York
Zip
13691-0219
Phone Number
315-628-4214
Fax Number
315-628-4214
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
265843 (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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