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Crystal Broadhead
Licensed Practical Nurse in New York, New York
NPI 1639640501

Crystal Broadhead is a Licensed Practical Nurse based in Brooklyn, NY. Crystal Broadhead practices in New York, NY. The NPI Number for Crystal Broadhead is 1639640501 and holds a License No. 303542 (New York).

The current practice location address for Crystal Broadhead is 110 W 97Th St, New York, NY and can be reached out via phone at 212-749-1820.

Location: 110 W 97Th St, New York, NY, 11205-2171
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639640501
Provider Name
Crystal Broadhead
Credential
Provider Entity Type
Individual
Gender
Female
Address
110 W 97Th St, New York, NY, 11205-2171
Phone Number
212-749-1820
Fax Number
Provider Enumeration Date
12/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 W 97Th St
City
New York
State
New York
Zip
10025-6450
Phone Number
212-749-1820
Fax Number
person
Provider Business Mailing Address Details
Address
110 W 97Th St
City
New York
State
New York
Zip
10025-6450
Phone Number
212-749-1820
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
303542 (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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