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Amethyst Niomi Wilson
Licensed Practical Nurse in Bay Shore, New York
NPI 1942785506

Amethyst Niomi Wilson is a Licensed Practical Nurse based in Bay Shore, NY. Amethyst Niomi Wilson practices in Bay Shore, NY. The NPI Number for Amethyst Niomi Wilson is 1942785506 and holds a License No. 333269 (New York).

The current practice location address for Amethyst Niomi Wilson is 56 Tudor Ln, Bay Shore, NY and can be reached out via phone at 631-358-4206.

Location: 56 Tudor Ln, Bay Shore, NY, 11706-5530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942785506
Provider Name
Amethyst Niomi Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
56 Tudor Ln, Bay Shore, NY, 11706-5530
Phone Number
631-358-4206
Fax Number
Provider Enumeration Date
09/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
56 Tudor Ln
City
Bay Shore
State
New York
Zip
11706-5530
Phone Number
631-358-4206
Fax Number
person
Provider Business Mailing Address Details
Address
56 Tudor Ln
City
Bay Shore
State
New York
Zip
11706-5530
Phone Number
631-358-4206
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
333269 (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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