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Mrs. Vonnie M Mike, LPN
Licensed Practical Nurse in Syracuse, New York
NPI 1891017620

Vonnie M Mike is a Licensed Practical Nurse based in Syracuse, NY. Vonnie M Mike practices in Syracuse, NY and has the professional credentials of LPN. The NPI Number for Vonnie M Mike is 1891017620 and holds a License No. 079591 (New York).

The current practice location address for Vonnie M Mike is 2105 W Genesee St, Syracuse, NY and can be reached out via phone at 315-468-3239 and via fax at 315-468-2917.

Location: 2105 W Genesee St, Syracuse, NY, 13210-3549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891017620
Provider Name
Vonnie M Mike
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
2105 W Genesee St, Syracuse, NY, 13210-3549
Phone Number
315-468-3239
Fax Number
315-468-2917
Provider Enumeration Date
02/21/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
079591-1 01 NY LPN LICENSE
institution
Provider Business Practice Location Address Details
Address
2105 W Genesee St
City
Syracuse
State
New York
Zip
13219-1698
Phone Number
315-468-3239
Fax Number
315-468-2917
person
Provider Business Mailing Address Details
Address
2105 W Genesee St
City
Syracuse
State
New York
Zip
13219-1698
Phone Number
315-468-3239
Fax Number
315-468-2917
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
079591 (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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