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Gladys Pean
Licensed Practical Nurse in Port Jefferson Station, New York
NPI 1659705929

Gladys Pean is a Licensed Practical Nurse based in Brentwood, NY. Gladys Pean practices in Port Jefferson Station, NY. The NPI Number for Gladys Pean is 1659705929 and holds a License No. 296442 (New York).

The current practice location address for Gladys Pean is 1010 Route 112, Port Jefferson Station, NY and can be reached out via phone at 631-473-1200.

Location: 1010 Route 112, Port Jefferson Station, NY, 11717-6508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659705929
Provider Name
Gladys Pean
Credential
Provider Entity Type
Individual
Gender
Female
Address
1010 Route 112, Port Jefferson Station, NY, 11717-6508
Phone Number
631-473-1200
Fax Number
Provider Enumeration Date
08/22/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1010 Route 112
City
Port Jefferson Station
State
New York
Zip
11776-3387
Phone Number
631-473-1200
Fax Number
person
Provider Business Mailing Address Details
Address
1010 Route 112
City
Port Jefferson Station
State
New York
Zip
11776-3387
Phone Number
631-473-1200
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
296442 (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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