Nadira Detlefsen, LPN
NPI #1295198588 in Mastic Beach, New York
Provider Information
- NPI Number
- 1295198588
- Entity Type
- Individual
- Name
- Nadira Detlefsen, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Apr 4, 2016
- Last Updated
- Apr 4, 2016
Practice Location
- Address
- 136 WASHINGTON AVE
- City
- Mastic Beach
- State
- New York
- ZIP Code
- 11951-2208
- Phone
- (631) 295-4524
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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