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Mrs. Heather Marie Samuelsen, LPN
Licensed Practical Nurse in Mastic Beach, New York
NPI 1780968305

Heather Marie Samuelsen is a Licensed Practical Nurse based in Mastic Beach, NY. Heather Marie Samuelsen practices in Mastic Beach, NY and has the professional credentials of LPN. The NPI Number for Heather Marie Samuelsen is 1780968305 and holds a License No. 10-307069 (New York).

The current practice location address for Heather Marie Samuelsen is 46 Washington Avenue, Mastic Beach, NY and can be reached out via phone at 631-772-8310.

Location: 46 Washington Avenue, Mastic Beach, NY, 11951-1915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780968305
Provider Name
Heather Marie Samuelsen
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
46 Washington Avenue, Mastic Beach, NY, 11951-1915
Phone Number
631-772-8310
Fax Number
Provider Enumeration Date
09/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
46 Washington Avenue
City
Mastic Beach
State
New York
Zip
11951-1915
Phone Number
631-772-8310
Fax Number
person
Provider Business Mailing Address Details
Address
46 Washington Avenue
City
Mastic Beach
State
New York
Zip
11951-1915
Phone Number
631-772-8310
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
10-307069 (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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