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Aiesha Mackbennett
Licensed Practical Nurse in Medford, New York
NPI 1629473715

Aiesha Mackbennett is a Licensed Practical Nurse based in Medford, NY. Aiesha Mackbennett practices in Medford, NY. The NPI Number for Aiesha Mackbennett is 1629473715 and holds a License No. 319985-1 (New York).

The current practice location address for Aiesha Mackbennett is 28 Carr Ln, Medford, NY and can be reached out via phone at 631-846-6194.

Location: 28 Carr Ln, Medford, NY, 11763
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629473715
Provider Name
Aiesha Mackbennett
Credential
Provider Entity Type
Individual
Gender
Female
Address
28 Carr Ln, Medford, NY, 11763
Phone Number
631-846-6194
Fax Number
Provider Enumeration Date
10/31/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
28 Carr Ln
City
Medford
State
New York
Zip
11763-1071
Phone Number
631-846-6194
Fax Number
person
Provider Business Mailing Address Details
Address
28 Carr Ln
City
Medford
State
New York
Zip
11763-1071
Phone Number
631-846-6194
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
319985-1 (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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