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Tashanna Dominique Kutora Scott
Licensed Practical Nurse in Stony Brook, New York
NPI 1629662440

Tashanna Dominique Kutora Scott is a Licensed Practical Nurse based in Stony Brook, NY. Tashanna Dominique Kutora Scott practices in Stony Brook, NY. The NPI Number for Tashanna Dominique Kutora Scott is 1629662440 and holds a License No. 340031 (New York).

The current practice location address for Tashanna Dominique Kutora Scott is 101 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-689-8333.

Location: 101 Nicolls Rd, Stony Brook, NY, 11794-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629662440
Provider Name
Tashanna Dominique Kutora Scott
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 Nicolls Rd, Stony Brook, NY, 11794-0001
Phone Number
631-689-8333
Fax Number
Provider Enumeration Date
02/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-1402
Phone Number
631-689-8333
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-1402
Phone Number
631-689-8333
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
340031 (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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