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Mrs. Tina L Walrath, LPN
Licensed Practical Nurse in Gouverneur, New York
NPI 1780733311

Tina L Walrath is a Licensed Practical Nurse based in Gouverneur, NY. Tina L Walrath practices in Gouverneur, NY and has the professional credentials of LPN. The NPI Number for Tina L Walrath is 1780733311 and holds a License No. 273662 (New York).

The current practice location address for Tina L Walrath is 100 Hailesboro St, Gouverneur, NY and can be reached out via phone at 315-287-0564.

Location: 100 Hailesboro St, Gouverneur, NY, 13642-1608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780733311
Provider Name
Tina L Walrath
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
100 Hailesboro St, Gouverneur, NY, 13642-1608
Phone Number
315-287-0564
Fax Number
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02549237 05 NY
institution
Provider Business Practice Location Address Details
Address
100 Hailesboro St
City
Gouverneur
State
New York
Zip
13642-1608
Phone Number
315-287-0564
Fax Number
person
Provider Business Mailing Address Details
Address
100 Hailesboro St
City
Gouverneur
State
New York
Zip
13642-1608
Phone Number
315-287-0564
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
273662 (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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