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Mrs. Michaela Ann Louise De La Cruz, LPN
Licensed Practical Nurse in Liverpool, New York
NPI 1972667814

Michaela Ann Louise De La Cruz is a Licensed Practical Nurse based in Liverpool, NY. Michaela Ann Louise De La Cruz practices in Liverpool, NY and has the professional credentials of LPN. The NPI Number for Michaela Ann Louise De La Cruz is 1972667814 and holds a License No. 202902-1 (New York).

The current practice location address for Michaela Ann Louise De La Cruz is 117 Laurel Ave, Liverpool, NY and can be reached out via phone at 315-474-7125.

Location: 117 Laurel Ave, Liverpool, NY, 13088-6639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972667814
Provider Name
Michaela Ann Louise De La Cruz
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
117 Laurel Ave, Liverpool, NY, 13088-6639
Phone Number
315-474-7125
Fax Number
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202902-1 01 NY LPN LIC.NO.
01730496 05 NY
institution
Provider Business Practice Location Address Details
Address
117 Laurel Ave
City
Liverpool
State
New York
Zip
13088-6639
Phone Number
315-474-7125
Fax Number
person
Provider Business Mailing Address Details
Address
117 Laurel Ave
City
Liverpool
State
New York
Zip
13088-6639
Phone Number
315-474-7125
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
202902-1 (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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