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Timothy John Blackowikak, LPN
Licensed Vocational Nurse in Dundas, Minnesota
NPI 1750701272

Timothy John Blackowikak is a Licensed Vocational Nurse based in Dundas, MN. Timothy John Blackowikak practices in Dundas, MN and has the professional credentials of LPN. The NPI Number for Timothy John Blackowikak is 1750701272 and holds a License No. L36999-0 (Minnesota).

The current practice location address for Timothy John Blackowikak is 212 Forest Ave N, Dundas, MN and can be reached out via phone at 612-423-5639.

Location: 212 Forest Ave N, Dundas, MN, 55019-3941
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750701272
Provider Name
Timothy John Blackowikak
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
212 Forest Ave N, Dundas, MN, 55019-3941
Phone Number
612-423-5639
Fax Number
Provider Enumeration Date
04/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
212 Forest Ave N
City
Dundas
State
Minnesota
Zip
55019-3941
Phone Number
612-423-5639
Fax Number
person
Provider Business Mailing Address Details
Address
212 Forest Ave N
City
Dundas
State
Minnesota
Zip
55019-3941
Phone Number
612-423-5639
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
L36999-0 (Minnesota)
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.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
L36999-0 (Minnesota)
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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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