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Dominique Champion
Licensed Practical Nurse in Farmingdale, New York
NPI 1790321180

Dominique Champion is a Licensed Practical Nurse based in Farmingdale, NY. Dominique Champion practices in Farmingdale, NY. The NPI Number for Dominique Champion is 1790321180 and holds a License No. 330577-1 (New York).

The current practice location address for Dominique Champion is 81 Lincoln Ave, Farmingdale, NY and can be reached out via phone at 631-882-5793.

Location: 81 Lincoln Ave, Farmingdale, NY, 11735-6843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790321180
Provider Name
Dominique Champion
Credential
Provider Entity Type
Individual
Gender
Female
Address
81 Lincoln Ave, Farmingdale, NY, 11735-6843
Phone Number
631-882-5793
Fax Number
Provider Enumeration Date
11/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
81 Lincoln Ave
City
Farmingdale
State
New York
Zip
11735-6843
Phone Number
631-882-5793
Fax Number
person
Provider Business Mailing Address Details
Address
81 Lincoln Ave
City
Farmingdale
State
New York
Zip
11735-6843
Phone Number
631-882-5793
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
330577-1 (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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