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Marie Gustave, LPN
Licensed Practical Nurse in Coram, New York
NPI 1720559891

Marie Gustave is a Licensed Practical Nurse based in Coram, NY. Marie Gustave practices in Coram, NY and has the professional credentials of LPN. The NPI Number for Marie Gustave is 1720559891 and holds a License No. 331179 (New York).

The current practice location address for Marie Gustave is 1998 Route 112 Apt 51A, Coram, NY and can be reached out via phone at 631-624-8242.

Location: 1998 Route 112 Apt 51A, Coram, NY, 11727-3062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720559891
Provider Name
Marie Gustave
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1998 Route 112 Apt 51A, Coram, NY, 11727-3062
Phone Number
631-624-8242
Fax Number
Provider Enumeration Date
12/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1998 Route 112 Apt 51A
City
Coram
State
New York
Zip
11727-3062
Phone Number
631-624-8242
Fax Number
person
Provider Business Mailing Address Details
Address
1998 Route 112 Apt 51A
City
Coram
State
New York
Zip
11727-3062
Phone Number
631-624-8242
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
331179 (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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