Janice Mierisch in East Patchogue - Licensed Practical Nurse

Janice Mierisch - NPI 1316066152

Janice Mierisch is a Licensed Practical Nurse in East Patchogue, New York. Janice Mierisch practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Janice Mierisch is 1316066152. The last update date is 2007-07-08.

Janice Mierisch's current location address is 10 Dahlia Dr W, East Patchogue, New York. You can contact this provider via phone number 6312895585 and fax number 6312896670. The mailing address for Janice Mierisch is 10 Dahlia Dr W, East Patchogue, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Janice Mierisch
Address 10 Dahlia Dr W, East Patchogue, New York
Phone Number 6312895585
Fax Number 6312896670
Sole Proprietor Y
Credentials LPN

NPI Number Detail

NPI Number 1316066152
Provider Enumeration Date 2007-03-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 10 Dahlia Dr W
City East Patchogue
State New York (NY)
Post Code 117724860
Phone Number 6312895585
Fax Number 6312896670

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 240378-1
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 r

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FAQs about Janice Mierisch

What is the Janice Mierisch's 1316066152?

The Janice Mierisch's NPI (National Provider Identifier) Number is 1316066152. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Janice Mierisch is located?

The Janice Mierisch is situated at the following address: 10 Dahlia Dr W, East Patchogue, NY, 117724860.

What is Janice Mierisch's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Janice Mierisch's specialized field of practice is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 164W00000X.

When was the Janice Mierisch's 1316066152 issued?

The Janice Mierisch's 1316066152 was issued on 2007-03-29.

As of what date were the Janice Mierisch's details last updated?

The information pertaining to the Janice Mierisch, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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